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Water Supply Reserve Account — Application Form Grand County Revised Aug 30, 2012 <br />Revised December 2011 Gore Canyon Whitewater Park at Pumphouse <br />The above statements are true to the best of my knowledge: <br />Signature of Applicant: (Signature on hard copy to state) <br />Print Applicant's Name: Lurline Curran, Grand County Manager <br />Project Title: Gore Canyon Whitewater Park at Pumphouse <br />Return an electronic version (hardcopy may also be submitted) of this application to: <br />Greg Johnson — WSRA Application <br />Colorado Water Conservation Board <br />1580 Logan Street, Suite 200 <br />Denver, CO 80203 <br />grego!y.Johnson@state.qo.us <br />• <br />U <br />11 <br />