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2024-12-19_GENERAL DOCUMENTS - M2021001
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2024-12-19_GENERAL DOCUMENTS - M2021001
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Last modified
12/19/2024 8:47:14 AM
Creation date
12/19/2024 8:31:22 AM
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DRMS Permit Index
Permit No
M2021001
IBM Index Class Name
General Documents
Doc Date
12/19/2024
Doc Name Note
Epermitting Admin Change Form
Doc Name
Epermitting Administrator Change Form
From
Ed Zebrowski
To
DRMS
Media Type
D
Archive
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12/19/24)8:31 AM ePermitting Administrator Change Form <br /> By clicking "Agree" below, you opt in to ePermitting for report submittal, and consent that the Division may send any and all <br /> correspondence, notices, documents and information to you electronically, in all matters related to reports and fees for your <br /> Permit(s) and/or N01(s). You further consent that you will use ePermit to send any and all correspondence, notices, documents <br /> and information to the Division in all matters related to reports and fees for your Permit(s) and/or N01(s). You consent that <br /> documents submitted electronically to the Division have the same legal force and effect as paper documents. The Division <br /> reserves the right to send any or all electronic records to you in paper form to your current mailing address on file at its sole <br /> discretion. Your agreement to opt in to ePermit represents a single legal transaction as that term is used in C.R.S. § 24-71.3-105. <br /> Your agreement to opt into ePermit will become effective immediately upon the Division's receipt of this signed Agreement and <br /> you may no longer receive paper documents from the Division pertaining to reports and fees for your Permit(s) and/or N01(s). <br /> This Agreement, including the validity of any signatures or consents, any claims, or any disputes arising hereunder shall be <br /> construed in accordance with and governed by the Laws of the State of Colorado. Further, if the permit or N01 holder is a <br /> corporation, partnership, trust, etc., you state that you are authorized to act on behalf of the permittee or N01 holder. <br /> Q Agree <br /> This form was created inside of State.co.us Executive Branch. <br /> Google Forms <br /> https://docs.google.com/forms/d/lQY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNiwEbfPHrgOexPeGfc4bB6e YlTsg5kDZeieZgWxd7wj2X4D4EYq_WC-GXohWpW2tA 4/4 <br />
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