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4/11/23,9:37 AM Annual Report ePermitting Signup <br /> Street Address: <br /> 595 taylor <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> City: * <br /> craig colo <br /> State: <br /> Co <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Zip: * <br /> 81625 <br /> Telephone: <br /> 970 326 8561 <br /> �.. .................................................................................................................................................................................................................................................................................................................. <br /> Permit/N01 Numbers (ie M-1987-189, P-2016-026): <br /> M1990134 <br /> ......................................................................................................................................................................................................................................................................................................................................................... <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> bower <br /> https://docs.google.com/forms/d/1 lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNiO1 w110ailwhGg8zn6Uf3dDuBrrl5q... 2/4 <br />