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Agreement to Conduct Permitting by Electronic Means <br /> Name of permittee representative desiring to <br /> opt in to ePermit: �oRrj RPM S <br /> Name of permittee: <br /> JokNVeCaVy%S IE�rrr,s s-r�t�c,t► <br /> Title: t2C Env <br /> Signature: <br /> Email Address for ePermit Account: <br /> iohn(ao re aunn5- C&r 5-kLL Oyl•covY,% <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> Colc�v-ac�o <br /> COUNTY OF: ) ss. <br /> ' Y VOvyU g-fe- <br /> The foregoing instrument was acknowledged <br /> before me this 1 �{ day of "�ul p 17 by <br /> (date) (year) <br /> as <br /> (Name of permittee representative) (title) <br /> of <br /> eums OtAS�yLc <br /> (permittee) <br /> NOTARY PUBL C <br /> (seal) <br /> My Commission expires: <br /> Page 3 of 4 <br />