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i <br />1 <br />�J <br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br />Instructions: This application should be typed or printed neatly with black ink. Attach additional <br />, sheets as necessary to fully answer any question or to provide additional information that would be <br />helpful in the evaluation of this application. When finished, please return this application to: <br />I� <br />I' <br />I� <br />I, <br />I' .. <br />I' <br />I, <br />I' <br />I' <br />I� <br />I� <br />I, <br />I, <br />THE COLORADO WATER CONSERVATION BOARD <br />Attn: John W. Van Sciver <br />1580 Logan, Suite 750 <br />Denver, CO 80203 <br />Phone Number 303/894-2571 Fax Number 303/894-2578 <br />e-mail: john.vansciver@state.co.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 />1. Name of applicant Supply Irrigating Ditch Company <br />Mailing Address P.O. Box 1826, Longmont, Co. 80502-1826 <br />Business Phone Number ( 303 � 678-4179 F� Phone Number ( 303 ) 678-4166 <br />Federal ID Number 84-0332265 e-mail Address dgrant@fnb-longmont.com_ <br />2. Person to contact regarding this application, if different from above: <br />Name Dan Grant <br />Position/Title Secretary/Treasurer <br />Address P.O. Box 1826, Longmont, Co. 80502-1826 <br />Business Phone Number ( 303 ) 678-4179 Home Phone Number ( 303 ) 772-1670 <br />e-mail Address dgrant@fnb-longmont.com <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Ditch Company <br />Date of Annual Meeting January 24, 2003 <br />Is the organization incorporated in the State of Colorado? YES _X NO (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br />' j CFLA602 <br />