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CWCB Water Project Loan Application <br />Remaining Annual Maturity <br />Lender Name & Address Amount Payment Date <br />C\NCF3 14. Roo, oozy 2630 <br />2. Are any of the abo a liabilities no-sv in default, or been in default at any time in the past? <br />YES NO W. If YES, please give detailed explanation. <br />3. Please provide a brief narrative description of sources of funding, in addition to the CWCB, <br />which have been explored for this project (Examples would be Banks, USDA Rural <br />Development, MRCS, Colorado Water Resources and Power Development Authority, olorado <br />Division of Local Government, etc.). <br />r t J n. r ^.1 A <br />4. What collateral will you be offering for this loan? Possibilities nclude a pleoge of revenues, t <br />the project itself, real estate, water rights. l <br />cr'LAto a , rs1vY Y" t lihk -„r rn a 1 Lh d el" 44--L� 1 as n <br />The above statements are true, to the best of my knowledge: <br />Signature of <br />Printed Name <br />Title ina,n &QIHS4 <br />Date <br />-1- 2 -7- 0 <br />4 <br />