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1/27/25Y 12:09 PM ePermitting Signup for New Applications and Annual Reporting <br /> Street Address: <br /> 1001 17th Street, Suite 1600 <br /> ........ .......... ................................................................................... <br /> City. <br /> Denver <br /> _............................................................................................................................................................................ <br /> State: * <br /> Colorado <br /> _............................................................................................................................................................................ <br /> Zip: <br /> 80202 <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 970-852-9819 <br /> .............. ,.................................................................................................................................................... <br /> Currently held Permit/N01 Numbers (ie M1987189, P2016026) <br /> M1980047, M20070671 M2005069 <br /> _....................................................................................................................................................... <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Seymour <br /> _............................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgrHtNgGiWAkPI-OpMWgOsdQcYW... 2/4 <br />