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4/2/2020 Annual Report ePermitting Signup-Google Forms <br /> Please complete this form to create a new ePermitting account for submittal of annual <br /> reports and fees. You will receive an email with your login information within two business <br /> days. This form is for new ePermitting account activation. If you have already enrolled in <br /> ePermitting, you should not complete this form. <br /> Name of Permittee or NOI Holder: " <br /> Jeff Carter <br /> ...................................... <br /> Street Address: <br /> 15954 Jackson Ck Pkwy B251 <br /> City: * <br /> Monument <br /> .............................................................................................................................................................................. <br /> State: <br /> Colorado <br /> Zip: <br /> 80132 <br /> ................................................................................................................................................................................ <br /> Telephone: <br /> 719-237-5914 <br /> https://docs.google.com/forms/d/llrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNiiAF1-IyyGAE1CUqu=g3ui6-dWFDp... 2/4 <br />