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<br />CWCB Construction Fund Loan Application <br /> <br />Fonn Rcvisro March 4.1998 <br /> <br />3. If the project is for rehabilitation of an existing reservoir, is the reservoir currently under a <br />storage restriction order from the State Engineer? YES _ NO N ;./.l <br /> <br />4. General location of the project. (please include county, and approximate distance and direction <br />from nearest town, as well as legal description, if known): (ll7Y1rU()S <br />rOU(Jt~ ) rJPfrOf;rnaJd.g.- I flAl)! frO'Y/1 +~- to))() nf C~f^'{;(}' <br /> <br />5. Please provide a brief narrative description of the proposed project including purpose, need, <br />facilities, types of water uses to be served and service area. (Attach separate sheet, ifneeded.): <br /><;(Je a:f/-ach(Jd. prrfnc;af <br /> <br />Water Right <br /> <br />CFS. <br /> <br />Average water diverted per year <br /> <br />Acre-feet. <br /> <br />6. Will the acquisition of additional water rights be necessary? <br />YES _ NO -i-. If"YES", please explain: <br /> <br />7. Please list the names and addresses of any technical or legal consultants retained to represent <br />the applicant or to conduct investigations for the proposed project: <br /> <br />NAME <br />])ClI/P_ Qossen <br /> <br />ADDRESS and PHONE <br />IL/-$?/ S-/(JVPIIl.<i Laka ,2d.) PaJ4:-91 '(~:)(;:y5, ('() 8/N7 <br /> <br />3 <br />