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2/19/25Y 2:54 PM ePermitting Signup for New Applications and Annual Reporting <br /> Street Address: <br /> 31100 US Hwy 385 <br /> .................................................................................................................. <br /> City: <br /> Granada <br /> _............................................................................................................................................................................ <br /> State: <br /> CO <br /> _............................................................................................................................................................................ <br /> Zip: <br /> 81047 <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 7196883668 <br /> .............. ..................................................................................................................................... <br /> Currently held Permit/N01 Numbers (ie M1987189, P2016026) <br /> M2022053 <br /> ............................................................................................................................................ <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Peterson <br /> _............................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNjdGOHaR3lSmmAt-yJz9R71 BXfj_C... 2/4 <br />