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<br />COLORADO WATER CONSERVATION BOARD
<br />CONSTRUCflON FuND LOAN APPLICATION
<br />
<br />Instmctions: This application should be typed or printed neatly with black ink. Attach additional
<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 COWRADO WATER CONSERVATION BOARD
<br />Attn: John W. Van Sciver
<br />1313 Shennan St., Room 721
<br />Denver, CO 80203
<br />Phone Nwnber 303/866-3441 - Fax Nwnber 303/866-4434
<br />e-mail: john.vansciver@state.co.us
<br />
<br />Part A. _ Description of the Applicant (GeneraIly, the applicant is also the prospective owner and
<br />sponsor of the proposed project. If this is not the case, please contact the CWCB staff before
<br />completing this application.)
<br />
<br />I, Name of applicant: The J "1<,,, H"'"l')' R",,,,,,,,,oir ('.ll"'P"11Y
<br />
<br />Mailing Address: ,,1 M"in ~_, P () Ro" R, OrtlW>lY, ('1)]0,.,,<10 RI01'i,
<br />
<br />Business Phone Number: (719) 1(;7-4411
<br />Federal ID Nwnber: R4-0'lQR7'i4
<br />
<br />Fax Phone Nwnber (719) 1(;7--4074
<br />e-mail Address:..ringj...@.P11hll:yl...] nM
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<br />2. Person to contact regarding this application, if di1furent from above:
<br />Name: AI]"", Ring""
<br />Positionffitle: M"Mgf'T
<br />Address: """"'''~ "MV'"
<br />
<br />Business Phone Number (719,) 1(;7-4411
<br />e-mail Address m-ingIP@rP11l111:yl"'] ""'I
<br />
<br />Home Phone Nwnber (71 9) )(;7-,(;,0
<br />
<br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Muh",] nit"" ('o"'P"ny
<br />Date of Annual Meeting: J"",,,,1)'??, 1001 (mutt" MOM"y in J"",,,,1)')
<br />Is the organization incorporated in the State of Colorado? YES __X_NO _ (If YES, please
<br />include a copy of the articles of incorporation, and the bylaws with this application fonn.)
<br />
<br />4. Please provide a brief description of the owner's existing water supply fucilities and descnbe
<br />any existing operational or maintenance problems. Attach separate sheets if needed, and a
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