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CWCB Construction Fund Loan Application <br /> 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 fmished,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.russellAstate.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 staffbefore completing <br /> this application.) <br /> 1. Name of applicant Penrose Water District <br /> Mailing Address 340 Grant Street <br /> Penrose,CO 81240 <br /> Business Phone Number(719)372-3289 Fax Phone Number(719)372-9347 <br /> Federal ID Number 84-0581911 e-mail Address penwdla,bresnan.net <br /> 2. Person to contact regarding this application: <br /> Name Ron Gasser <br /> Position/Title District Manager <br /> Address Same as Applicant <br /> Business Phone Number(719)372-3289 Cell Phone Number(719)429-3290 <br /> e-mail Address penwdl(u,bresnan.net <br /> 3. Type of organization(Ditch Co.,Irrigation District,Municipality,etc.): Special District <br /> Date of Annual Meeting Board of Directors meets 2nd Monday of each month <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 />