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1/9/24,9:19 AM ePermitting Administrator Change Form <br /> Permit/N01 Numbers (ie M-1987-189, P-2016-026): <br /> M-2021-048 <br /> ePermit Number: <br /> ............................................................................................................................................................................. <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Jordan <br /> ............................................................................................................................................................................. <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Ben <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 /> bjordan@zakdirt.com <br /> Telephone: <br /> 9705354657 <br /> ............................................................................................................................................................................. <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNgs2gWATMFwWGfCsawYdpLG... 2/3 <br />