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<br />CWCB Construction Fund Loan Application <br />Revised January 31, 1994 <br /> <br />4. Is the organization incorporated in tile State of Colorado? YES L NO_ <br />(If "YES", please include a copy of the articles of incorporation, and the Bylaws with <br />this application form.) /}r'/lcfes 1 ~ Laws ,4l/acld <br /> <br />5. Please provide a brief description of the owner's existing water supply facilities and <br />describe any existing operational or maintenance problems. (Attach separate sheets and <br /> <br /> <br />,-c../uf'eS . <br />6. Fot existing facilities indicate:' (a) th~ 'n'umber of sh~eholders-'1-, or S 7.S S~teS <br />'. ", . < ~ . <br />(b) the' number of , customers served If <br /> <br />Part B. - Description of the Project <br />. ,~:,'.- *_:. \ <br /> <br />1. <br /> <br />Name of the project or fa~lhiy':';Fsro Jlt') /) r.Jt/ er:r:; /0,., <br /> <br />J?e !J(:;}r <br />I <br /> <br />2. What is the purpose of this loan application? . Check one. <br /> <br />.. _ New project \ <br />)i Rehabilitation or replacement of eJ(isting facility <br />~.~. <br />_ Enlargement of existing fa~ility . <br />_ Emergency Repair <br />_ Other (describe) <br /> <br />3. If the project is for rehabilitation ofan existing reservoir, is the reservoir currently under <br />a storage restriction order from the State Engineer? YES NO _/'I I} <br /> <br />2 <br />