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12/10/2019 Annual Report ePermitting Signup-Google Forms <br /> Permit/NOI Numbers (ie M-1 987-189) P-2016-026): <br /> P2018015 <br /> Last Name of individual who will act as account administrator for the <br /> ePermitting account: <br /> Mayer <br /> First Name of individual who will act as account administrator for the <br /> ePermitting account: <br /> Mark <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 /> markmayerpdb@yahoo.com <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 /> https://docs.google.com/forms/d/1 IrxOW3YTBh UgGtqfeXDsKSGkvVjwJ FE-9jmiKZU RFs/edit#response=ACYDBNjhvywk86PJzQgzHJHC_ksYPp2W0... 3/5 <br />