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4/13/2020 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 /> Ephemeral Resources LLC <br /> ................................................................................ <br /> Street Address: <br /> PO Box 1769 <br /> City: * <br /> GRAND JUNCTION <br /> ................................................................................................................................................................................ <br /> State: <br /> CO <br /> .............................................................................................................................................................................. <br /> Zip: <br /> 81502 <br /> ................................................................................................................................................................................ <br /> Telephone: <br /> 9702161273 <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNjfPEXw1 rlFcgCSzV6rJHLx2leL0A0l... 2/4 <br />