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6/18/2019 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgbHMqN_dCjlmDCdMhL4vYXFpnjLj…1/3 <br />1,022 responses <br />Accepting responsesSUMMARYINDIVIDUAL <br />of 1022 <br />Responses cannot be edited <br />Annual Repor t ePermitting Signup <br />* Required <br />Please complete this form to create a new ePermitting account for submittal of annual reports <br />and fees. You will receive an email with your login information within two business days. This <br />form is for new ePermitting account activation. If you have already enrolled in ePermitting, you <br />should not complete this form. <br />Cortez Pit <br />22419 County Rd. G <br />1021 <br />Name of Permittee or NOI Holder: * <br />Street Address: * <br />Annual Report ePermitting Signup <br />QUESTIONS RESPONSES 1,022