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4, <br />COLORADO WAfiEI� CONSERVATTt�N BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br />Instructions: This application should be typed or printed neatly with black ink. Attach additional <br />sheets as necessazy to fully answer any question; or to provide additional information that would be <br />helpful in the evaluation of this application. When finisl�d, ple,ase return this application to: <br />THE COLORADO WATER CONSERVATION BOARD <br />Attn: John W. Van Sciver <br />1313 Sherman St., Room 721 <br />I�nver, CO 80203 <br />Phone Number 303/866-3441 - Fax l�iumber 303/866-4434 <br />e-mail: john.vansciver@state.ca.us <br />Part A. - Description of the Applicant (Generally, the applicant is also the prospective owner and <br />sponsor of the proposed project. If this is not the case, please contact the CWCB staff before <br />completing this application.) ^ <br />� <br />1. Name of <br />� <br />�, I a M' � -•}- � <br />L..➢ ��. ► � ��. � C� C' <br />��es�.� Phone Number ( �I�) �'1 I ' �� 2� <br />Federal ID Number <br />F� Phone Number <br />e-mail Address <br />n <br />2. Person to contact regarding this application, if different from above: <br />Name /�o �- �o n n c� � <br />Position/Title_�e.c Trca <br />Address � 3 3 3 !�u- r d� U 171 eSG�. 12na o� <br />Business Phone Number ( ) Home Phone Number (� 01 � N i- 3�3 � 3 <br />e-mail Address An��c S/.38 �x A-o L c� � -- <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): �e 5 e r U d�, � Co r-►,Da n� <br />Date of Annual Meeting �� Sa.�", i�, (Yla�'-�-. � m Q,� �` � � 2 00 2� <br />Is the organization incorporated in the State of Colorado? YES � NO (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br />