BOARD01667

• Board Meeting Date: 11/19/2003
• Description: CF Section - Referred Non-Reimbursable Investments - CWCB South Platte River Decision Support System
• Board Meetings - Doc Type: Memo

Non-Reimbursable Investment Application
Colorado Water Conservation Board - CONSlRUCTION FUND

Instructions: This application form should be typed, or printed neatly with black ink. You may attach additional sheets as necessary to fully
answer any question, or to provide additional information that you feel would be helpful in evaluating this application. If you have difficulty
with any part of the application, please contact the Water Supply Planning and Finance Section (Colorado Water Conservation Board) for
assistance, at [phone].

Generally, the applicant is also the prospective owner and sponsor of the proposed project. If this is not the case, please contact the CWCB
staff before completing this application.

Part A. - Description of the Appllcant (project Sponsor or Owner);

. of applicant( s): Ray Alvarado for CWCB
Mailing address 1313 Sherman St Room 721, Denver CO

Taxpayer ID# N/A

email address:[e-mail]

Telephone numbers: Business [phone]
Home
Fax

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2. Person to contact regarding this application, if different from above:
Name:

Position/title:
Mailing address:

Telephone number:

Business (
Home

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3. Type of organization (Ditch Co., Irrigation District, Municipality, Private Owner, etc.): Colorado Water Conservation Board