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8/19/25Y 10:33 AM ePermitting Administrator Change Form <br /> Permit/N01 Numbers (ie M-1987-189) P-2016-026): <br /> M-1979-1031 M-1980-2240 M-1987-1311 M-1988-0931 M-1990-1121 M-1990-1441 M-1998-038, M-2000-041, M- <br /> 2007-0061 M-2012-0450 M-2016-0091 M-2018-0151 M-2019-0051 M-2019-0211 M-2020-0021 M-2020-006 <br /> ................ ..................... ..........I _.............................................................................................................................................................. ................................................................... ................................................... <br /> ePermit Number: <br /> 278365 <br /> _............................................................................................................................................................................ <br /> Last Name of individual who will act as account administrator for the ePermitting account: <br /> Weimer <br /> _............................................................................................................................................................................ <br /> First Name of individual who will act as account administrator for the ePermitting account: <br /> Sara <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 /> shaggstrom@apc.us.com <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 303-842-7615 <br /> _............................................................................................................................................................................ <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNhkDAovKypVi9jauVGc3aCdRAIV... 2/3 <br />