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IR,I_/Rt Nir COLORADO WATER CONSERVATION BOARD coNS 4i^ <br /> WAN CONSTRUCTION FUND <br /> o. <br /> D1,11.\12.1\I}N r c>i 2008-2009 NON-REIMBURSABLE PROJECT APPLICATION �z -�.: <br /> ATUIAI, « r 76 <br /> SESOUFS ► 1937 <br /> ' f <br /> ISF Engineering and Technical Support Services <br /> Instructions: This application form should be emailed, typed, or printed neatly. You may attach additional <br /> sheets as necessary to fully answer any question, or to provide additional information that you feel would be <br /> helpful in evaluating this application. Include with your application a cover letter summarizing your request <br /> for a non-reimbursable investment. If you have difficulty with any part of the application, contact Mike <br /> Serlet of the Water Supply Planning and Finance Section (Colorado Water Conservation Board) for <br /> assistance,at(303) 866-3426 or email Mike at mike.serlet(a),state.co.us. <br /> Generally, the applicant is also the prospective owner and sponsor of the proposed project. If this is <br /> not the case, contact Mike Serlet before completing this application at(303)866-3426. <br /> • Part A.-Description of the Applicant(Project Sponsor or Owner); <br /> 1. Applicant Name(s): Colorado Water Conservation Board <br /> 1313 Sherman Street, Room 721, Denver, CO 80203 <br /> Mailing address: <br /> Taxpayer ID#: Email address: Jeffrey.baessler @state.co.us <br /> Phone Numbers: Business: (303) 866-3441 <br /> Business: X 3202 <br /> Fax: <br /> (303) 866-4474 <br /> 2. Person to contact regarding this application if different from above: <br /> Name: Jeff Baessler/Bahman Hatami <br /> Position/Title Assistant Section Chief/PE II, ISF Engineer <br />