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<br />(&~4)Vr ) <br /> <br />Colorado Water Conservation Board <br />CONSTRUCfION FuND LOAN APPLICATION <br /> <br />Instructions: This application fonn should be typed, or printed neatly with black ink You may attach <br />additional sheets as necessary to fully answer any question, or to provide additional infonnation that <br />you feel would be helpful in evaluating this application_ If you have difficulty with any part of the <br />application, please contact the Colorado Water Conservation Board office for assistance, at (303) 866- <br />3441. <br /> <br />Generally, the applicant is also the prospective owner and sponsor of the proposed project. If this is not <br />the case, please contact the CWCB staff before completing this application <br /> <br />Part A. - Description of the Applicant (project Sponsor or Owner); <br /> <br />1. <br /> <br />Nameofapplicant(s): Jllr1(11~sa.. - La <br />'D,'BtrJ 'e j- <br />Mailing address: p. 0. (Jy O'K J1i ~ <br />La J"ara.) ('0 <br />Taxpayer 10# '640 8'tJ 781{-O <br />(7JS1) J..}4 -c;)(bg <br />(7J'lP.74-!;SCj() <br />( ) <br /> <br />]qn:.L UJa-ftr frJvL~nlat1Dj <br /> <br />(flltfD <br /> <br />Telephone <br /> <br />number: <br /> <br />Business <br /> <br />Home <br /> <br />Fax <br /> <br />2 <br /> <br />Person to contact regarding this application, if different from above: <br />Name: .:Joh y1 SMt)/(l rrJf5 <br />Position/title: _Prf8trlenT - Jl:LJ we J> <br />Mailing address: C:;{j-/ll~ <br /> <br />Telephone number: Business () <br />Home () <br /> <br />3. <br /> <br />Type of organization (Ditch Co., <br />W.L1i-er Cllns. 1>,'s-!r,rf <br /> <br />Irrigation District, Municipality, Private Owner, etc.): <br />Date of Annual Meeting <br />