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12/18/2017 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNi9eEtIKs0E5LrnqNi0c7NKQr6UdgVf…2/4 <br />6374 S. Racine Circle <br />Centennial <br />Colorado <br />80111 <br />3036886611 <br />M-2010-048, M-2015-010, M-2015-011 <br />Bell <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: *