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9/26/2019 Annual Report ePermitting Change Form-Google Forms <br /> QUESTIONS RESPONSES <br /> and information to the Division in all matters related to reports and fees for your Permit(s) and/or <br /> N01(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 file 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 N01(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 N01 holder is a corporation, partnership,trust, etc.,you state that you are <br /> authorized to act on behalf of the permittee or N01 holder. <br /> 0 Agree <br /> Submitted 9/26/19,1:39 PM <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu 1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNjyUDXoduV-ZOvSBXmDrEeF-30... 3/3 <br />