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12/14/2017 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNiig9su2tr4iJycMhQGz8evArBIWPiHH…2/4 <br />1405 Parkwood Drive <br />Fort Collins <br />Colorado <br />80525-1934 <br />970-215-6110 <br />P-2010-004 <br />Newman <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: *