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<br />en <br /> <br />970-587-2749 <br /> <br />p.2 <br /> <br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br /> <br />Instructions: 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 COLORADO WATER CONSERVATION BOARD <br />Artn: John W. Van Sciver <br />I3I3 Shennan St., Room 721 <br />Denver, CO 80203 <br />Phone Number 303/866-3449 Fax Number 303/866-4474 <br />e-mail: john_vansciver@state.co.us <br /> <br />Part A. - Description of the Applicant (Generally, 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 />1. Name of applicant Shultz Farm. Ine. . Steven Shultz. President <br /> <br />Mailing Address 21475 Weld County ReI 19. Milliken. CO 80543 <br /> <br />Business Phone Number (970) 679-8841 <br />Federal ill Number 84-0635181 <br /> <br />Fax Phone Number (970) 587-2749 <br />e-mail Addressellendanderson@yahoo.com <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name Steven Shultz <br />PositionlTitle President <br />Address 21475 Weld County Rd 19. Milliken. CO 80543 <br />Business Phone Number ( 970) 679-8841 Home Phone Number (970) 587-2708 <br />E-mail Addressellendanderson@yahoo.com <br /> <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Family Farm Corporation <br />Date of Annual Meeting March 31 <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 form.) <br /> <br />1 <br /> <br />CFLA602 <br />