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2/18/25Y 12:26 PM ePermitting Administrator Change Form <br /> Permit/N01 Numbers (ie M-1987-189) P-2016-026): <br /> M-1979-148 <br /> ....................................................................................................................................... <br /> ePermit Number: <br /> 184436 <br /> _............................................................................................................................................................................ <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Mardesen <br /> _............................................................................................................................................................................ <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Ki rk <br /> _............................................................................................................................................................................ <br /> Email address of account administrator: * <br /> The account administrator is responsible for providing the Division with a current email address for <br /> ePermitting correspondence. Please contact the Division if an existing administrator email requires <br /> updating. <br /> kirk.mardesen@state.co.us <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 970-260-1113 <br /> _............................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNjXpMg9VgBkBXLQbE4HLHfca3q... 2/3 <br />