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<br />, <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 CONSERV AT/ON BOARD <br />Attn: John W, Van Sciver <br />1313 Sherman St., Room 721 <br />Denver, CO 80203 <br />Phone Number 303/866-3441 - Fax Number 303/866-4434 <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 />I. Name of applicant .John E. Niblack <br /> <br />Four Seasons Trout Farm <br /> <br />Mailing Address <br /> <br />P. O. Box 21 (505 S. W. Third Ave.) <br /> <br />Cp'c1arp.c1!;p', CO <br /> <br />R14J7; <br />Fax Phone Number ( <br />e-mail Address <br /> <br />) <br /> <br />Business Phone Number (970 )856- ')029 <br />Federal ID Number 84-0Q17Sh7 <br /> <br />2, Person to contact regarding this application, if different from above: <br />Name <br />PositiowTitle <br />Address <br />Business Phone Number ( <br /> <br />) <br /> <br />Home Phone Number ( <br /> <br />) <br /> <br />e-mail Address <br /> <br />3, Type of organization (Ditch Co" Irrigation District, Mwricipality, etc.): Trout Farm <br />Date of Annual Meeting <br />Is the organization incorporated in the State of Colorado? YES _ NO ~ (If YES, please <br />include a copy of the articles of incorporation, and the bylaws with this application form,) <br /> <br />1 <br />