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<br />.:. ,", <br /> <br />. <br /> <br />. <br /> <br />Colorado Water Conservation Board <br />CONSTRucnON FuND LoAN APPUCATION <br /> <br />RECEIVED <br />AUG 3 0 10(~ <br /> <br />Colorado Wa\or <br />Conservation Board <br />Instructions: This application form should be typed, or printed neatly with black ink. You may <br />attach additional sheets as necessary to fully answer any question, or to provide additional <br />information which you feel would be helpful in evaluating this application. If you have difficulty <br />with any part of the application, please contact the Colorado Water Conservation Board office <br />for assistance, at (303) 866-3441. <br /> <br />Generally, the applicant is also the prospective owner and sponsor of the proposed project. If <br />this is not the case, please contact the CWCB staff before completing this application. <br /> <br />Part A. - Description of the Applicant (project Sponsor or Owner); <br /> <br />1. Name ofapplicant(s): J~Y)()V1 M" ~a ~V\"\,,t' S C mV\ ''''',>..In i-\-, <br />As <;:{)('\n.:\-i () V, <br />Mailing address: ?"O('l A\-)'J" ~ QA C R 310 <br />:I-<<j VlO C".\ () Co x-l \?, '1 <br /> <br />Telephone number: Business <br />Home <br /> <br />('910) S",<.-4()53 <br />(. ) ~""-e... <br /> <br />2. Person to contact regarding this application, if different from above: <br />Name: ~~m\~) -=YQ\I'V\e,'<" <br />Position/title: C \.a'wwy-; '" o","'\'n-e C\m..A <br />Mailing address: Sa"", t' Cl s f'\ \.., v +'. <br /> <br />Telephone number: Business <br />Home <br /> <br />( ).5.---" "",e. a.') A--b v-e <br />( ) <br /> <br />3. Type of organization (Ditch Company, Irrigation District, Municipality, Private Owner, <br />etc.): \:"0(\1\"''''\"\\,\ ~'>("J('\r'\~0V\ - t\..)Qh~I:"~;'-\ C()\'\'()cc;:\;ov\ <br />