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CT2015-152 Application
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CT2015-152 Application
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Last modified
12/16/2016 9:00:38 AM
Creation date
2/10/2015 10:43:12 AM
Metadata
Fields
Template:
Loan Projects
Contract/PO #
CT2015-152
CMS 77047
Contractor Name
Cortez, City of
Contract Type
Loan
County
Montezuma
Loan Projects - Doc Type
Application
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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 /> 1313 Sherman St,Room 721 <br /> Denver,CO 80203 <br /> Attn:Anna Mauss,P.E. <br /> Phone(303)866-3441 x3224 Fax(303)866-4474 <br /> Email anna.maussfu°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) <br /> 1. Name of applicant City of Cortez <br /> Mailing Address 210 East Main Street <br /> Cortez, CO 81321 <br /> Business Phone (970 )5644004 Fax (970 )565-8172 <br /> Federal ID Number 84-6000646 email share©cityofcortez.com <br /> 2. Person to contact regarding this application: <br /> Name Shane Hale <br /> PositionrritieCity Manager <br /> Address210 East Main Street <br /> Business Phone (970 )564-4004 Cell (. 970 )739-9720 <br /> Email shale @cityofcortez.com <br /> 3. Type of organization(Ditch Co.,Irrigation District,Municipality,etc):Municipality <br /> Date of Annual Meeting <br /> mod 2nd 11491`"s"with, , <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) <br /> 1 <br />
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