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<br />-... <br /> <br />FROM : Town of Coal Creek <br /> <br />PHONE NO. 719 784 6150 <br /> <br />Jan. 16 2003 11:50RM P2 <br /> <br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FuND LoAN APPLlCA nON <br /> <br />Instructions: This application should be typed or printed neatly with black ink.. Attach additiollll1 <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 />THE Cow)tAOO W A.TER CONSERVATION BOARD <br />Attn: John W. Van SeWer <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Phone Nwnber (303) 894-2571 Fax Nwnber (303) 894-2578 <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 cao;e, please contact the CWCB staff before <br />completing this application.) <br />1. Name of applicant Tn"'" nff'",,) r.-k <br /> <br />Mailing Add=s <br /> <br />PO Rm< ~n <br />('oal r,.,..,,1r,cn RI1?1 <br /> <br />Business Phone Nwnber (719) 7lt4-fil,,0 <br />Federal II) Nwnber. R4-0"i774?O <br /> <br />Fax Phone Nwnber ( 719) 7R4-nt ,,0 <br /> <br />e-mail Addresstn...nof~....l~reek@..nl ~"m <br /> <br />2. Person to contact regarding this application, if different from above: <br />NaD>P. ('''''TIe. Ha.ti"llS <br />PositionfTitle M'l}'nr <br />Adc/res.. PO Rny ~n ('O'll f'r_1<- ('0 Rl??1 <br />. <br /> <br />Business Phone Nwnber ( 719) 7R4-ilI"iO Home Phone Nurnber( 719) 7R4-/i1l14 <br />e-mail Addrcs..tn.....nfunal.....ek@901 rom <br /> <br />3. Type of organi7..ation (Ditch Co., lnigarion District, Municipality, etc.)' M.m.r.lp;tnty <br />Date of Annual Meeting: Bi-monthly Board meetings on the 1" & ]'d Wednesdays <br />Is the organization incorporated in the State of Colorado? YES _X_ NO _ (If YES, please <br />include a copy of the articles at incorporation, and the bylaws with this application fonn.) <br /> <br />CflA902 <br />