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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.mauss cr state.co.Lis <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 Huerfano County Water Conservancy District <br /> Mailing Address attn: Carol Dunn, Secretary <br /> P.O. Box 1213, La Veta, CO 81055 <br /> Business Phone (719 ) 742-3597 Fax ( ) <br /> Federal ID Number 84-0935026 email cdunn@cad-1 .com <br /> 2. Person to contact regarding this application: <br /> Name Michael D. (Sandy) White <br /> Position/Title Director <br /> Address P.O. Box 26, La Veta, CO 81055 <br /> Business Phone (719 ) 742-6164 Cell ( 720 ) 635-9403 <br /> Email sandy@white-jankowski.com <br /> 3. Type of organization Ditch Co., Irrigation District Municipality, Water Conservancy District <br /> Y1� g ( g � p ty�etc.): <br /> Date of Annual Meeting <br /> December[decree attached) <br /> n <br /> Is the organization incorporated in the State of Colorado? YES [:] NO ❑✓ (If YES,please <br /> include a copy of the articles of incorporation, and the bylaws) <br /> 1 <br />