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6/2/2021 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 <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 /> Delta County <br /> Permit/NOI Numbers (ie M-1987-189, P-2016-026): <br /> M-1978-172, M-2013-013, M-1978-170, M-1979-140, M-1980-049, M-2014-009, M-1978-168, M-1978-304, M- <br /> 2007-025 <br /> ............................................................................................................................................................................................................................................................................................................................................................... <br /> ePermit Number: <br /> 180710 <br /> Last Name of individual who will act as account administrator for the ePermitting account: * <br /> McCracken <br /> ................................................................................................................................................................................ <br /> First Name of individual who will act as account administrator for the ePermitting account: * <br /> Tim <br /> ................................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit?urlBuilderpomain=state.co.us#response=ACYDBNgz... 2/4 <br />