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12/4/2019 Annual Report ePermitting Change Form-Google Forms <br /> Name of Permittee or NOI Holder: <br /> Acme Brick Company <br /> ....................................................................................................................................................... <br /> Permit/NOI Numbers (ie M-1 987-189) P-2016-026): <br /> M-1997-007,M-1989-052,M-1977-392,M-1976-007-UG,M-2007-009,M-1996-064 <br /> .................................................................................................................................................................................................................................................................................. <br /> ePermit Number: <br /> 605984 <br /> ................................................................................................................................................... <br /> Last Name of individual who will act as account administrator for the <br /> ePermitting account: <br /> Murphy <br /> First Name of individual who will act as account administrator for the <br /> ePermitting account: <br /> Richard <br /> Email address of account administrator: <br /> The account administrator is responsible for providing the Division with a current email address for <br /> ePermitting correspondence. Please contact the Division if an existing administrator email requires <br /> updating. <br /> rmurphy@brick.com <br /> .......................................................................................................................................................... <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu 1_DFtS5wVH IfoeUraQePxvehJJac/edit#response=ACYDBNjfUSpLhNtfbBYQELcXsTTnwxly... 2/4 <br />