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3/26/24, 1:33 PM Annual Report ePermitting Signup <br /> Street Address: <br /> 5174 Highway 133 <br /> City: <br /> Somerset <br /> State: <br /> CO <br /> ............................................................................................................................................................................. <br /> Zip: * <br /> 81434 <br /> Telephone: <br /> (970) 929-2219 <br /> Permit/N01 Numbers (ie M-1987-189, P-2016-026): <br /> C-1980-007 <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Wilczek <br /> https://docs.google.com/forms/d/I I rxOW3YTBh UgGtgfeXDsK5GkvVjw_j FE-9j m iKZU RFs/edit#response=ACYD BNj6Q-akAXh_2Jj BT2ETOGVJgo-Acj U... 2/4 <br />