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2/12/25Y 1:45 PM ePermitting Signup for New Applications and Annual Reporting <br /> Street Address: <br /> 720 South 8th Street <br /> ............................................................................................................. <br /> City. <br /> Gunnison <br /> _............................................................................................................................................................................ <br /> State: <br /> Colorado <br /> _............................................................................................................................................................................ <br /> Zip: <br /> 81230 <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 970-641-2014 <br /> _............................................................................................................................................................................ <br /> Currently held Permit/N01 Numbers (ie M1987189, P2016026) <br /> M-1984-069 <br /> ...................................................................................................................................... <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Schmalz <br /> _............................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgyUKi626hslY_PYMhsxrgYDrEhb96... 2/4 <br />