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6/22/2020 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 /> Luther Huddleson <br /> ............................................................ <br /> Street Address: <br /> 24550 East State Hwy 110 <br /> City: * <br /> Calhan <br /> ................................................................................................................................................................................ <br /> State: <br /> Colorado <br /> Zip: <br /> 80808 <br /> ................................................................................................................................................................................ <br /> Telephone: <br /> 7196602593 <br /> https://does.google.com/forms/d/l lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNjKAv5rEeWoZLkBc2w9Hn47YOEtP... 2/4 <br />