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Colorado Water Conservation Board <br />Emergency Funding for Damaged River Diversions /Dams <br />from the September 2013 Flood Event <br />Emergency Loan Application and Feasibility Study <br />Prepared for and Prepared by: <br />Highland Ditch Company <br />4309 State Hwy 66, Longmont, CO 80534 <br />PO Box 649, Mead, CO 80542 <br />970 -535 -4531 <br />Signature <br />V" <br />�J��� r J� <br />Return a signed hard copy and an electronic copy to: <br />CWCB Finance Section <br />1580 Logan, Suite 600 <br />Completed ByTritle (Print) <br />�/ <br />'" )I,K <br />I l <br />s eK j u <br />Denver, CO 80203 <br />Attn: Anna Mauss <br />1. e5 10l eivl— <br />Ph. 303.866.3441x 3224 <br />e -mail: anna.mauss a.state.co.us <br />Signature /Date <br />54r— )Y b L l <br />Application Deadlines: <br />October 16, 2013(noon) <br />November 1, 2013(noon) <br />