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6/12/24,3:14 PM ePermitting Administrator Change Form <br /> ePermitting Administrator Change Form <br /> Email * <br /> shane.pratt@parkcountyco.gov <br /> ............................................................................................................................................................................. <br /> C 0 L 0 A 0 <br /> Division f Reclamation,, <br /> t Mining and 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 /> Park County- Public Works <br /> l ............................................................................................................................................................................. <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmul_DFtS5wVHifoeUraQePxvehJJac/edit#response=ACYDBNhkfgA8-NZ_IfOxuOERToidDFKu... 1/3 <br />