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12/6/2017 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNhySpyPqZJfL7PUXYQtH0eQ-Z-0VJI…2/4 <br />3609 N CR 13 <br />Loveland <br />Colorado <br />80538 <br />970-667-2178 <br />M-2000-156, M-1979-059, M-1985-026, M-2005-004, M-2005-033, M-1986-123, M-2002-078 <br />SCHLEICH <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: *