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<br />COLORADO WATER COl'iSERVATlO:'i BOARD CO:'iSTRUCTlO:'\ <br />FU:'\D LOA:'\ ApPLlCATIO:'\ <br /> <br />Instructions: This application should be typed or printed neatly with black ink. Anach <br />additional sheets as necessary to fully ans\>.:er any question or to provide additional information <br />that would he helpful in the evaluation of this application. When finished. please retum this <br />application to: <br /> <br />Tilt: COLOIUDO W.",TEI{ CO:'liSER'"Xno:'\ BO.-\JW <br />Ann: John W. Van Sci\'cr <br />] 580 Logan St.. Suite 750 <br />Denver. CO ~0203 <br />Phone Number (303) 89-l~2571 Fax Number (303) 894-2578 <br />e-mail: iohn.vansciver(U;state.co.us <br /> <br />Part A. - Llescription of the Applicant (Generally, the applicant is also the prospective owner <br />and sponsor of the proposed project. If this is not the case, please camac! the C\VCB staff before <br />completing this application.) <br /> <br />1. Name of applicant Willow lIeir!hts Irrit:ulioll COmPll1l)' I"c. <br /> <br />i\lailing Address P.0.80x821 <br />Ifotchki....... CO 81./19 <br /> <br />Business Phone Number (970 872-4i25) Fax Phone :\'umbcr (97() 872-./72.') <br /> <br />FcderallD Number 8./-/289391 <br /> <br />e-mail Addressmduch.fiijoimail.cOIII <br /> <br />2. Person to contact regarding this application. if different from above: <br />Name .'turlel' /Judo <br /> <br />Position.'Title <br /> <br />Pre."iidem <br /> <br />Address <br /> <br />P.O. Box 730 <br /> <br />t/O/CltkiH. CO 8/.1/9 <br /> <br />Business Phone Number (970 872-1725 lHome Phone Number (970 872-./780) <br /> <br />e-mail Address...duclnfiiioimai!.com <br />3. Type of organization (Ditch Co., Irrigation Districl. l\luniclpality. etc.): lrrb.:utioll Compoll!' <br /> <br />D:l1e of Annual \1ceting Jamwrl' 3/.2003 <br /> <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 />CFL\90~ <br />