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1/27/25Y 4:39 PM ePermitting Signup for New Applications and Annual Reporting <br /> Street Address: <br /> 37231 Hwy 14 <br /> ............................................................................................................................................ <br /> City: <br /> Briggsdale <br /> _............................................................................................................................................................................ <br /> State: <br /> CO <br /> _............................................................................................................................................................................ <br /> Zip: <br /> 80611 <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 9705905061 <br /> ......... ........... .......................................................................................................................................... <br /> Currently held Permit/N01 Numbers (ie M1987189, P2016026) <br /> M2010055 <br /> _...................................................................._.................................................................................. <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Konig <br /> _............................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNge-OEgUooZ3YKpIL3n-ItJzx9l4CLYt... 2/4 <br />