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3/23/23, 11:41 AM Annual Report ePermitting Signup <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Tracy <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Email address of account administrator: * <br /> The account administrator is responsible for providing the Division with a current email address for <br /> ePermitting correspondence. Please contact the Division if an existing administrator email requires <br /> updating. <br /> tracy@leadershipcirclellc.com <br /> Name(s) and Permit Number(s) of any additional person(s) to notify on annual report/map/fee <br /> due date(s): <br /> Matthew Miles M2021051 <br /> Email address(es) of additional person(s) to notify on annual report/map/fee due date(s): <br /> matt@leadershipcirclellc.com <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> https://docs.google.com/forms/d/1IrxOW3YTBhUgGtgfeXDsKSGkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgNkjFGfV-pxzQDaM8yKg9RENzXk... 3/4 <br />