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5/6/2021 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 administrator <br /> on existing ePermitting accounts. You will receive an email confirming your changes within two <br /> business days. <br /> Name of Permittee or NOI Holder: <br /> Yuma County <br /> Permit/NOI Numbers Oe M-1987-189, P-2016-026): <br /> m-1981-179,m-1981-250,m-2008-035,m-2009-070,m2011-006,m-2011-042,m-2012-051,m-2015-049,m-2016-070 <br /> ePermit Number: <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Marr <br /> .................................................................................................................................................................................... <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Don <br /> .................................................................................................................................................................................... <br /> Email address of account administrator: * <br /> The account administrator is responsible for providing the Division with a current email address for ePermitting correspondence. <br /> Please contact the Division if an existing administrator email requires updating. <br /> dmarr@co.yuma.co.us <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit?urlBuilderpomain=state.co.us#response=ACYDBNh... 2/4 <br />