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3/31/23,9:04 PM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> Email * <br /> jrandaII@Iawrence-construction.com <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> ILO COLORADO <br /> -..a Division of Reclamation, <br /> ta <br /> Miningand Safety <br /> Department of Natural Resources <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 N01 Holder: <br /> Lawrence <br /> https://does.googIe.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHIfoeUraQePxvehJJac/edit#response=ACYDBNia1 EVXk-7hrkr9euA6jgeg4Mgmk... 1/3 <br />