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11/27/23, 1:57 PM Annual Report ePermitting Signup <br /> Street Address: <br /> 3951 West 144th Avenue <br /> City: <br /> Broomfield <br /> State: <br /> Colorado <br /> ............................................................................................................................................................................. <br /> Zip: * <br /> 80023 <br /> Telephone: <br /> 7205571336 <br /> Permit/N01 Numbers (ie M-1987-189, P-2016-026): <br /> M-2003-016 <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Middleton <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNjLcdzTpoAGuj--502HyjaTD6h6elzR... 2/4 <br />