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5/14/2020 Annual Report ePermitting Change Form-Google Forms <br /> Please complete this form to update the ePermitting Administrator for submittal of annual <br /> reports and fees. This form is for changing the name and/or email address of the <br /> administrator on existing ePermitting accounts. You will receive an email confirming your <br /> changes within two business days. <br /> Name of Permittee or NOI Holder: " <br /> Moffat County <br /> ................................................. <br /> Permit/NOI Numbers (ie M-1987-189, P-2016-026): <br /> M-2006-076,M-1 980-248,M-1 978-007,M-1 992-007, M-1978-085,M-2000-033,M-2005-006, M-1993-023, M- <br /> 1999-048, M-1998-047, M-2002-059, M-2011-036, M-2009-060, M-1989-112, M-1980-239 <br /> ePermit Number: <br /> 836357 <br /> ............................ <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Denise Baptist <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Denise Baptist <br /> ................................................. <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNigbnAMj19jeUCf6KnFOKgCVAIC... 2/4 <br />