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12/5/2019 Annual Report ePermitting Change Form-Google Forms <br /> Telephone: <br /> 970-675-3814 <br /> Name(s) and Permit Number(s) of any additional person(s) to notify <br /> on annual report/map/fee due date(s): <br /> .......................................................................................................................................................... <br /> Email address(es) of additional person(s) to notify on annual <br /> report/map/fee due date(s): <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu 1_DFtS5wVH IfoeUraQePxvehJJac/edit#response=ACYDBN i2dj-LpxDpuMO-XX7PcYdTAQba... 3/4 <br />