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COLORADO WATER CONSERVATION BOARD <br />WATER PROJECT 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 sign and return this application <br />to: <br />THE COLORADO WATER CONSERVATION BOARD <br />Finance Section <br />1580 Logan St., Suite 600 <br />Denver, CO 80203 <br />Attn: Anna Mauss, P.E. <br />Phone: (303) 866 -3441 x3224 Fax (303) 894 -2578 <br />Email: anna.mauss'u 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) <br />1. Name of applicant Grand Mesa Water Conservancy District/ Water Enterprise fund <br />Mailing Address P.O. Box 129 <br />Cedaredge, Colorado 81413 <br />Business Phone (970-856 -3173 <br />Federal ID Number 90-0298670 <br />2. Person to contact regarding this application: <br />NameAustin M. Keiser <br />PositiowTitle President <br />Fax X970 -816 -3175 <br />email askeiser @yahoo.com <br />Address P.O. Box 443 Cedaredge, Colorado 81413 <br />Business Phone (970 -8�6 -3173 Cell (970 -2�0 -4027 <br />Email <br />askeiser @yahoo.com <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Water conservancy District <br />Date of Annual Meeting <br />Monthly Meeting 2nd. Tues. <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) <br />