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COLORADO WATER CONSERVATION BOARD <br /> CONSTRUCTION FUND 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 return this application to: <br /> THE COLORADO WATER CONSERVATION BOARD <br /> Water Supply Planning and Finance Section <br /> 1580 Logan St., Suite 750 <br /> Denver,CO 80203 <br /> Attn: Kirk Russell, P.E. or Bruce Johnson, P.E. <br /> Phone Number 303/866-3449 - Fax Number 303/894-2578 <br /> e-mail:kirk.russell @state.co.us or bruce.Johnson @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. If this is not the case, please contact the CWCB staff before <br /> completing this application.) <br /> 1.Name of applicant Montezuma Valley Irrigation Company <br /> Mailing Address p . O . Box 1056 Cortez Co . 81321 <br /> Business Phone Number (970) 565-3332 Fax Phone Number (970)565-8505 <br /> Federal ID N u m b e r e-mail A d d r e s s i S V i S C o e@ <br /> 2. Person to contact regarding this application: <br /> NameJim Siscoe <br /> Position/Title M an a g e r <br /> AddressP . O . Box 1056 Cortez Co . 81321 <br /> Business Phone Number (970) 565-3332 Home Phone Number (970) 759-8742 <br /> e-mailAddressj siscoe @ mvic . us <br /> 3.Type of organization(Ditch Co.,Irrigation District,Municipality, etc.): Ditch c c . <br /> Date of Annual Meeting 1 2 / 1 1 / 0 <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 with this application form.) <br /> 1 <br />