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CWCB Construction Fund Loan Application <br />COLORADO WATER CONSERVATION BOARD <br />CONSTRUCTION FUND LOAN APPLICATION <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 />THE 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.russell(&state.co.us or bruce.JohnsonAstate.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 the CWCB staffbefore completing <br />this application.) <br />1. Name of applicant Penrose Water District <br />Mailing Address 340 Grant Street <br />Penrose, CO 81240 <br />Business Phone Number ( 719) 372 -3289 Fax Phone Number ( 719) 372 -9347 <br />Federal ID Number 84- 0581911 e-mail Address penwdl (iOresnan.net <br />2. Person to contact regarding this application: <br />Name Ron Gasser <br />Position/Title District Manager <br />Address Same as Applicant <br />Business Phone Number (719) 372 -3289 Cell Phone Number (719) 429 -3290 <br />e -mail Address penwdl(a,bresnan.net <br />3. Type of organization (Ditch Co., Irrigation District, Municipality, etc.): Special District <br />Date of Annual Meeting Board of Directors meets 2nd Monday of each month <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 />