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6/18/2019 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgbHMqN_dCjlmDCdMhL4vYXFpnjLj…3/3 <br />daniel Pokrajac <br />pcestimating@gmail.com <br />Agree <br />Submitted 6/17/19, 5:33 PM <br />Name(s) and Permit Number(s) of any additional person(s) to notify on annual report/map/fee <br />due date(s): <br />Email address(es) of additional person(s) to notify on annual report/map/fee due date(s): <br />By clicking "Agree" below, you opt in to ePermitting for repor t submittal, and consent that the <br />Division may send any and all correspondence, notices, documents and information to you <br />electronically, in all matters related to reports and fees for your Permit(s) and/or NOI(s). You <br />fur ther consent that you will use ePermit to send any and all correspondence, notices, documents <br />and information to the Division in all matters related to reports and fees for your Permit(s) and/or <br />NOI(s). You consent that documents submitted electronically to the Division have the same legal <br />force and effect as paper documents. The Division reserves the right to send any or all electronic <br />records to you in paper form to your current mailing address on le at its sole discretion. Your <br />agreement to opt in to ePermit represents a single legal transaction as that term is used in C.R.S. <br />§ 24-71.3-105. Your agreement to opt into ePermit will become effective immediately upon the <br />Division’s receipt of this signed Agreement and you may no longer receive paper documents from <br />the Division pertaining to reports and fees for your Permit(s) and/or NOI(s). This Agreement, <br />including the validity of any signatures or consents, any claims, or any disputes arising hereunder <br />shall be construed in accordance with and governed by the Laws of the State of Colorado. Further, <br />if the permit or NOI holder is a corporation, partnership, trust, etc., you state that you are <br />authorized to act on behalf of the permittee or NOI holder. * <br />Annual Report ePermitting Signup <br />QUESTIONS RESPONSES 1,022