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11/30/2017 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNj4N5sPAMUMTpYbQar7kRB6gl0nh…2/4 <br />1541 Stockyard Road <br />Pueblo <br />Colorado <br />81001 <br />719-544-4744 <br />M-2007-069, M-1998-101, M-1995-011 <br />Beltramo <br />Street Address: * <br />City: * <br />State: * <br />Zip: * <br />Telephone: * <br />Permit/NOI Numbers (ie M-1987-189, P-2016-026): <br />Last Name of individual who will act as account administrator for the <br />ePermitting account: *