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7/25/25Y 12:25 PM ePermitting Sign-up for New Applications and Annual Reporting <br /> Name of Permit Applicant, or existing Permittee or N01 Holder: <br /> For existing permits this should be the name of the entity that the permit was issued to. For <br /> new accounts, this should be the name of the individual, or business as registered with the <br /> Colorado Secretary of State, that will be applying for a new Permit or N01. <br /> Thomas Wade O'Rourke <br /> _............................................................................................................................................................................ <br /> Street Address: <br /> 267 County Road 18 <br /> _............................................................................................................................................................................ <br /> City: W <br /> Del Norte <br /> ................. ................................................................................................................................................ <br /> State: <br /> Colorado <br /> ................................................................................................................................................. <br /> Zip: <br /> 81132 <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 7195801160 <br /> _........................................................................................................................................................................... <br /> https://docs.google.com/forms/d/1 IrxOW3YTBhUgGtgfeXDsKSGkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNibHicKtOKBBi28Tb854cSRvHOsMCi... 2/4 <br />