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7/17/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNjQT7m9iuwav6bOPRUyxytrIeStsI46…1/3 <br />674 responses <br />Accepting responsesSUMMARYINDIVIDUAL <br />of 674 <br />Responses cannot be edited <br />Annual Repor t ePermitting Signup <br />* Required <br />Please complete this form to create an ePermitting account for submittal of annual reports <br />and fees. You will receive an email with your login information within two business days. <br />Langston Concrete Inc <br />902 South Union Street P.O. Box 279 <br />674 <br />Name of Permittee or NOI Holder: * <br />Street Address: * <br />Annual Report ePermitting Signup <br />QUESTIONS RESPONSES 674