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8/25/25Y 1:19 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 /> Shallenberger Energy LLC <br /> _............................................................................................................................................................................ <br /> Street Address: <br /> 6819 Highway 491/160 <br /> _............................................................................................................................................................................ <br /> City: * <br /> Cortez <br /> .......................................................................................................................................................... <br /> State: <br /> Co <br /> ...................................................................................................................................................................... <br /> Zip: <br /> 81321 <br /> _............................................................................................................................................................................ <br /> Telephone: <br /> 970-675-5766 <br /> _........................................................................................................................................................................... <br /> https://docs.google.com/forms/d/llrxOW3YTBhUgGtgfeXDsKSGkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNh5zmKul4oxSKdaUb woafwTaLN2rf... 2/4 <br />