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5/23/22, 10:02 AM ePermitting Administrator Change Form <br /> ePermit Number: <br /> 571436 <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Curtis <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Rebecca <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 /> beaverranchgravel@gmail.com <br /> Telephone: <br /> (970)466-9114 <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 /> Jeremiah Curtis <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> https:Hdocs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHI foe UraQePxvehJJac/edit#response=ACYDBNgdtK2c3mVaebAAPEg2CXmVP_... 2/3 <br />