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5/19/22,4:54 PM ePermitting Administrator Change Form <br /> ePermit Number: <br /> 990297 <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Seifert <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Lindsey <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Email address of account administrator: * <br /> The account administrator is responsible for providing the Division with a current email address for ePermitting <br /> correspondence. Please contact the Division if an existing administrator email requires updating. <br /> office@sbcompanies.com <br /> Telephone: <br /> 719-783-2757 <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Name(s) and Permit Number(s) of any additional person(s) to notify on annual report/map/fee <br /> due date(s): <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNinbBBjJswuxym1 PGueyV214uO_... 2/3 <br />