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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 @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 Loan Cabin Ditch and Reservoir Company <br /> Mailing Address 42384 Lamborn Mesa Road <br /> Paonia,CO 81428 <br /> Business Phone (970)872-3118 Fax (970)527-4431 <br /> Federal ID Number 84-6038286 email jrb112943 @aol.com <br /> 2. Person to contact regarding this application: <br /> Name James R.(Jim) Briscoe <br /> Position/Title President <br /> Address 42384 Lamborn Mesa Road <br /> Business Phone (970) 872-3118 Cell (970) 527-4431 <br /> Email jrb112943@aol.com <br /> 3. Type of organization(Ditch Co., Irrigation District,Municipality, etc.): Ditch Company <br /> Date of Annual Meeting February <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) <br /> 3 <br />