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<br />COLORADO <br /> <br />~ <br /> <br />DEPARTMENT OF <br />NATURAL <br />RESOURCES <br /> <br />COLORADO WATER CONSERVATION BOARD <br /> <br /> <br />CONSTRUCTION FUND <br />2005-2006 NON-REIMBURSABLE PROJECT APPLICATION <br /> <br />Colorado Conservation Reserve Enhancement Support Request <br />(Project Name) <br /> <br />* Applir"9tinn np9rlline - AJlgJul.t 16 2004 for Fl1nd~ AV9i'ahle .Tuly lr 20n~ <br />* Fllnrlin~ rp.l':nmmendations: will he ronddprerl at the Novernhpr 2004 CWl:R "mud Mepting. <br /> <br />lndrlletions: 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 mik~ '~rlpt@,tRtp cn "'. <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 /> <br />Part A. - Description of the Applicant (project Sponsor or Owner); <br /> <br />I. <br /> <br />Applicant Name(s): <br /> <br />Colorado Division of Wildlife <br /> <br />Mailing address: <br /> <br />6060 Broadway <br />Denver, Colorado 80216 <br /> <br /> <br />Taxpayer ID#: <br /> <br />Email address: <br /> <br />Phone Numbers: Business: <br /> <br />(303) 291-7208 <br /> <br />Home: <br /> <br />Fax: <br /> <br />n01) ?Ql-71O~ <br /> <br />2. Person to contact regarding this application if different from above: <br /> <br />Name: <br /> <br />Bruce McCloskey <br /> <br /> <br />PositionlTitle <br /> <br />Director/ Colorado Division of Wildlife <br />