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2/1/2018 Annual Report ePermitting Signup <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNhCYTyyvX3U8kpux1i3iyizS9OpOqH…1/2 <br />Annual Repor t ePermitting Signup <br />Please complete this form to create an ePermitting account for submittal of annual reports and <br />fees. You will receive an email with your login information within one business day. <br />MJ Cadgene <br />34001 35.00 Road <br />Redvale <br />CO <br />81431 <br />970 428-1500 <br />Name of Permittee or NOI Holder: * <br />Street Address: * <br />City: * <br />State: * <br />Zip: * <br />Telephone: *