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<br />CWCR Construction Fund Loan Application <br /> <br />T emier Name /(> Arlrlre" <br /> <br />Remaining <br />Ammmt <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />j)H.te <br /> <br />BURl' All Of Rfrl Ai'IIAT10111 <br />COLa WATER CONSFRVATION BOARD <br /> <br />'\ 4') . nof! <br />9fi, ')0') <br /> <br />lCl.?nn <br />1),7R,) <br /> <br />?n?n <br />?o')o <br /> <br />2. Are any of the above liabilities now in default, or been in default at any tinle in the past? <br />YES_NO l. If YES, please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by category <br />(such as service charges, tap fees, assessments, etc.). <br /> <br />SFF ATTArHMFNT r. FOR ?nnl <br /> <br />SFF ATTArHMFNT n FOR ?nn? <br /> <br />4. Please provide a brief narrative description of sources of funding, in addition to the CWCB, <br />which have been explored for this project (Examples would be Banks, Rural Development, <br />NRCS, Colorado Water Resources and Power Development Authority, Colorado Division of <br />Local Govemment, etc.). . THF BIIRFAII OF RFrl AMATlON IS r1IRRFNTI Y WORKING <br /> <br />ON THF nFSlr:;N STllnV FnR n.jF ~IPHnN. AI sn. A I 1t'1ITl=n I\MOIINT 01= <br /> <br />FINANCIAL HELP FOR THE STILLING BASIN MAY COME FROM THE BUREAU <br />OF RECLAMATION, <br />5. What collateral will you be offering for this loan? Possibilities include the project itself, pledge <br />of revenues, real estate, water rights. . PLEDGE' OF RFVENIIE'S. <br /> <br />The above statements are true, to the best of my knowledge: <br /> <br /> <br />::~~~ <br />Printed N e NO~MA N H. <br />Title PRESIDENT <br /> <br />; <br />HIINT <br /> <br />Date <br /> <br />MA'I 13, 2003 <br /> <br />C:\Projects\MarketlCFLA602 <br /> <br />4 <br /> <br />CFLA602 <br />