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1/4/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgH8PELr2_3I4rftaVzv6FPS-li-bH9rC…2/4 <br />5396 county road 154 <br />Glenwood Springs <br />Colorado <br />81601 <br />9704458486 <br />M-1999-042 <br />Congdon <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: *