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<br />1 <br />I. <br />I <br />I <br />1 <br />1 <br />I <br />1 <br />I <br />I <br />1 <br />1 <br />1 <br />1 <br />I <br />I <br />1 <br />L <br />1 <br />I <br /> <br />CWCB Construction Fund Loan Application <br />Revised January 31, 1994 <br /> <br />4, Is the organization incorporated in the State of Colorado? YES.i:- NO_ <br />(If "YES", please include a copy of the articles of incorporation, and the Bylaws with <br />this application form.) <br /> <br />5, Please provide a brief description of the owner's existing water supply facilities and <br />describe any existing operational or maintenance problems. (Attach separate sheets and <br />a map, if needed.): <br />:,........ ~-\\<>.c.kd ""'''-!f' C')~ cl;+d... .s~~;J--,>-"",-, -Ai9" ",,,fQY" ",," s:n'i' <br />&!.ro~;oY) of ~.poJ' pi~ ~l\c-I \""de\"""'i"'i +k.~ .0100.... ,ot' th"" <br />'l'DiI tlOe., ClLLL'$.,,'j Q ~ol",-, ii, Th" ~lflO"", '5......... ""-tl-a.c.h,,d "'ero,,+':; <br /> <br />6. For ensting facilities indicate: <br /> <br />(a) the number of shareholders '76 , or <br /> <br />(b) the number of customers served '9 ~ . <br />(~)&l1JeE/Jr4SS.Es..wE)JT~ 7~-~e ,cy;eSIw2c <br />(f.i) L/tM6Ze a:- ..shd':ZES .sot) '=-~ <br /> <br />Part B. ~ Description of the Project <br /> <br />1. Name of the project or facility: 'he Farme.r5 '?a.wne",(2<<..t1ctl (!.o <br /> <br />2. What is the purpose of this loan application? Check one. <br /> <br />_ New project <br />)( Rehabilitation or replacement of existing facility <br />_ Enlargement of existing facility <br />_ Emergency Repair <br />_ Other (describe) <br /> <br />3. If the project is for rehabilitation of an existing reservoir, is the reservoir currently under <br />a storage restriction order from the State Engineer? YES NO f- <br /> <br />2 <br />