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COLORADO COLORADO WATER CONSERVATION BOARD S co/Q.4 <br /> frt - <br /> CONSTRUCTION FUND �, = <br /> Kqqg, ®F 2005-2006 NON-REIMBURSABLE PROJECT APPLICATION , '•;.;Y r <br /> SOURCES k' /9 31 * <br /> (Project Name) <br /> *Application Deadline=August 16,2004 for Funds Available July 1,2005. <br /> * Funding recommendations will be considered at the November 2004 CWCB Board Meeting. <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@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 the 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): Division of Water Resources and Colorado Water <br /> Consarvation 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: 303-866-3906 <br /> Cell: <br /> 720-289-1273 <br /> :.................................................._......_........ .... <br /> Fax: <br /> 2. Person to contact regarding this application if different from above: <br /> Name: Jeff Baessler <br /> • Position/Title Senior Water Resource Specialist <br />