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1/8/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNhCh7s6Y9CXvCp_1RL32C0QMkaEj…2/4 <br />581 County Road 420 PO Box 82 <br />La Veta <br />Colorado <br />81055 <br />719-250-5660 <br />M2006007 Morgan Pit <br />Morgan <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: *