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<br />CWCB Construction Fund Loan Application <br /> <br />Fonn Re\isM March 4, 1998 <br /> <br />5. What collateral will you be offering for this loan? <br /> <br />The above statements are true, to the best of my knowledge: <br /> <br />Signature of Applicant: <br />Title: <br />Date: <br /> <br />1Ikr: 4(i;~~ <br />t~rrilr7C1~1#y- /f/t;~ p/,tr /l'ti1J;uM;$)~ <br />Id/lsj91 <br /> <br />Please return this application to: <br />The COLORADO WATER CONSERV ATlON BOARD <br />William P. Stanton <br />X John W. Van Sciver <br />1313 Shennan St., Room 721 <br />Denver, CO 80203 <br /> <br />n, CFLA3498.doc <br /> <br />6 <br />