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5/10/2021 Annual Report ePermitting Signup-Google Forms <br /> Please complete this form to create a new ePermitting account for submittal of annual reports <br /> and fees. You will receive an email with your login information within two business days. This <br /> form is for new ePermitting account activation. If you have already enrolled in ePermitting, you <br /> should not complete this form. <br /> Name of Permittee or NOI Holder: <br /> Gary Knippa <br /> Street Address: <br /> 33084 Bergen Mtn Road <br /> City: <br /> Evergreen <br /> .................................................................................................................................................................................... <br /> State: <br /> CO <br /> Zip: <br /> 80439 <br /> Telephone: <br /> 7204128838 <br /> .................................................................................................................................................................................... <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit?urlBuilderpomain=state.co.us#response=ACYDBNhKjfL... 2/4 <br />