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COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <br />InstrucNons: This application �hould 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 ret�un this application to: <br />T� COLORADO WATER CONSERVATION BOARD <br />Water Supply Planning and Finance Section <br />1580 Logan St., Suite 750 <br />Denver, CO 80203 <br />Attn: Kirk Russell, P.E. or Bruce Johnson, P.E. <br />Phone Number 303/866-3449 - Fax Number 303/894-2578 <br />e-mail: kirk.russellna,state.co.us or bruce.Johnson(a�sta.te.co.us <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 tlie CWCB staff before <br />completing this application.) <br />1. Name of applicant Town o f De Beque <br />MailingAddress PO Box 60, De BeQUe, CO 81630 <br />Business Phone Number (A�n 1�R �— K47 , <br />Federal ID Number 84-6006452 <br />Fax Phone Number ( q 7 n) � R�— � � �, <br />e-mail Address clerk(�debeque . orc,L <br />2. Person to contact regarding this application: <br />NaTT1e [`arrnl 7 Aamnl r� <br />Position/Title Town Enc��neer <br />Address 579 Elkhart_ Ln, Grand Junction, CO 81504 <br />Business Phone Number �a 7 0) 216— 018 5 Home Phone Number (9 7 0 k� 3 4— 9 � 7 <br />e aamnl �3Pngi nc�Pri ng(d�ma i 1 �-nm <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.):�yun i c i a= �; t� <br />DateofAnnua.lMeeting Monthl�-2r��3 Monday <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 i.ncorporation, and the bylaws with this application form.) <br />