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<br />I~ULORADO <br /> <br />:.~ <br />_'PARTMENT OF <br />ATURAL <br />SOURCES <br /> <br />COLORADO WATER CONSERVATION BOARD <br /> <br /> <br />CONSTRUCTION FUND <br />2005-2006 NON-REIMBURSABLE PROJECT APPLICATION <br /> <br />OAK CREEK RESERVOIR FEASIBILITY STUDY <br /> <br />(project Name) <br /> <br />· Application DeanJine - AlIgJl<t 1/,. 7.004 for Flinn_ Avaibhle Tnly 1 ?005 <br />* Fllnning rp'r,omm~n:'ltiom:. will hp condnPTPo ::tt thp. Nnvp.mhf'T '004 rwrR ROllrn Mp.p.ting <br /> <br />In_trnctinn_: This application form should be emailed, typed, or printed neatly. You may attach <br />additional sheets as necessary to fully answer any question, or to provide additional infonnation that <br />you feel would be helpful in evaluating this application. Include with your application a cover letter <br />summarizing your request for a non-reimbursable investment. If you have difficulty with my part of <br />the application, contact Mike Serlet of the Water Supply Planning and Finmce Section (Colorado <br />Water Conservation Board) for assistance, at (303) 866-3426 or email Mike at mike "rlet@_t"te co liS. <br /> <br />Generally, the applicant is also the prospective owner and sponsor of the proposed project If this is not <br />e the case, contact the Mike Serlet before completing this application at (303) 866-3426. <br /> <br />Part A. - Description of the Applicant (Project Sponsor or Owner); <br /> <br />1. <br /> <br />Applicant Name(s) <br /> <br />CITY OF FLORENCE <br /> <br />Mailing address: <br /> <br />300 WEST MAIN STREET <br />FLORENCE, CO 81226 <br /> <br />Taxoaver ID# <br /> <br />84-6014553 <br /> <br />........".......................................................................................................... <br />Fm~il "nnr"._ dw; 11 i@fl orenceco 1 orado. org <br /> <br />Phone Numbers: Business: <br />Home: <br />Fax: <br /> <br />.........................................-..........,.............,..,. <br /> <br />ZJ~:.ZEl!!:AI:l.41:l..~~:l:.:2 24 <br /> <br />,]19.:lI:l4-..022.8... <br /> <br />2. <br /> <br />Person to contact regarding this application if different from above: <br /> <br />e <br /> <br />Tom Pi It i ngsrud <br />.mCityManager... .....or.. <br />Oori Williams <br />CityCJ..erk..... <br />