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5/1/25,4:13 PM ePermitting Signup for New Applications and Annual Reporting <br /> Street Address: <br /> 18450 E. 28th Ave. <br /> ............................................................................................................................................................................. <br /> City: * <br /> Aurora <br /> State: <br /> CO <br /> ............................................................................................................................................................................. <br /> Zip: * <br /> 80011 <br /> Telephone: <br /> 3033631000 <br /> Currently held Permit/N01 Numbers (ie M1987189, P2016026) <br /> M2017002 <br /> ............................................................................................................................ ......... <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Crouse <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNiRrrH7MhvNAgvXLZiLjXtOCrgO7zjO... 2/4 <br />