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7/31/24,8:31 AM Annual Report ePermitting Signup <br /> Street Address: <br /> 34320 State Hwy 12 <br /> ............................................................................................................................................................................. <br /> City: * <br /> Trinidad <br /> State: <br /> CO <br /> ............................................................................................................................................................................. <br /> Zip: * <br /> 81082 <br /> Telephone: <br /> 719-679-1310 <br /> Permit/N01 Numbers (ie M-1987-189, P-2016-026): <br /> M-2000-028 <br /> ............................................................................................................................................................................. <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Ferrero <br /> https://docs.google.com/forms/d/llrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgRXjk8XKsXy-NitsUDLZrfHndlf Ed... 2/4 <br />