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1/12/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNjYEze5BZ60EfbEr0m6I1a2-WUotUyI…2/4 <br />Henderson <br />Colorado <br />80640 <br />303 994-2015 <br />M-1983-176, M-2005-059, M-2004-009, M-2015-030 <br />Laird <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: *