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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.maussriNtate.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 Center of Colorado Water Conservancy District <br /> Mailing Address P.O. Box 1747, Fairplay, CO 80440 <br /> Business Phone T 19 816 2330 Fax (719 8316 2328 <br /> Federal ID Number 84-1449967 email <br /> 2. Person to contact regarding this application: <br /> NaneJames W. Culichia <br /> Position/Title Attorney <br /> Adch.ess319 North Weber Street, Colorado Springs CO 80903 <br /> Business Phone Z 19 4711 1212 Cell 7(19 33 0054 <br /> Email jwc @fmcwater.com <br /> 3. Type of organization(Ditch Co.,Irrigation District,Municipality,etc.): <br /> Water Conservancy District <br /> Date of Annual Meeting N/A Board meets monthly <br /> Is the organization incorporated in the State of Colorado? YES ❑ NO 19 (If YES,please <br /> include a copy of the articles of incorporation,and the bylaws) <br /> 1 <br />