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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 fmished, 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.maussLstate.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 Huerfano County Water Conservancy District <br />Mailing Address <br />attn: Carol Dunn, Secretary <br />P.O. Box 1213, La Veta, CO 81055 <br />Business Phone ( 719 1 742 -3597 <br />Federal ID Number 84- 0935026 <br />Fax <br />email cdunn @cad -1.com <br />2. Person to contact regarding this application: <br />Name Michael D. (Sandy) White <br />PositiowTitle Director <br />Address P.O. Box 26, La Veta, CO 81055 <br />Business Phone (719 742 -6164 Cell ( 720 ) 635 -9403 <br />Email sandy @white -jankowski.com <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Water Conservancy District <br />Date of Annual Meeting December [decree attached] <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 />1 <br />