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7/13/2020 ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> C IR" A 0 <br /> vsn of Reclamation, <br /> R Mining and Safety <br /> Department Of Natural Resources <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 /> Thomas & Ginger Latham (Leased by Kirkland Construcion LLLP) <br /> Permit/NOI Numbers (ie M-1987-189, P-2016-026): <br /> M1981058 <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHI foe UraQePxvehJJac/edit#response=ACYDBNgVAbWPvO-1 puZXUzrvu659o4R... 1/3 <br />