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<br />COLORADO WATER CONSERV ATlON BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br /> <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 return this application to: <br /> <br />1lIE COLORADO W ATER CONSERVATION BOARD <br />Attn: John W. Van Sciver <br />1313 Shennan St., Room 721 <br />Denver, CO 80203 <br />Phone Number 303/866-3441 - Fax Number 303/866-4434 <br />e-mail: john.vansciver@state.co.us <br /> <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 staff before <br />completing this application.) <br /> <br />I. Name of applicant: ADDleton Northwest LaterallML 369\ and Drainaae Comoration <br /> <br />Mailing Address: 878 Twentvtwo Road Grand Junction. CO 81505 <br /> <br />Business Phone Number ( 970 1243-5370 <br />Federal ID Number <br /> <br />Fax Phone Number ( <br /> <br />) <br /> <br />e-mail Address:thenawalton(a)hotmail.com <br /> <br />2. Person to contact regarding this application, if different from above: <br /> <br />Name <br />Positionffitle <br />Address <br />Business Phone Number ( <br />e-mail Address <br /> <br />ROl!er Warren <br />President <br /> <br />) <br /> <br />Home Phone Number ( <br /> <br />) <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc. ): Ditch COl"Onorat1on <br />Date of Annual Meeting Last Thundav in January of each Year. (Next one Jan 31. 2002) <br />Is the organization incorporated in the State of Colorado? YES ~ (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form.) <br />