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8/20/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgqa0C9Q01oXzLjuYMbuw5ddd_gm…2/3 <br />Haxtun <br />CO <br />80731 <br />970-774-7403 <br />M-2002-068, M-2010-036 <br />Ensminger <br />Rick <br />ensminger@haxtuntel.net <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 ePermitting account: * <br />First Name of individual who will act as account administrator for the ePermitting account: * <br />Email address of account administrator: * <br />The account administrator is responsible for providing the Division with a current email address for ePermitting correspondence. Please contact the <br />Division if an existing administrator email requires updating.