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Owner's Signature Contractor Signature Date Date Address: Inspector Section Phone: ADDRESS MARKER PERMIT APPLICATION Permit ADDRESS MARKER Date Elbert County Public Works Department P.O. Box 116, 215 Cheyenne St., Kiowa, CO 80117 REVISION DATE: 12/19/18 Ph: [PHONE REDACTED], Fax: [PHONE REDACTED] Complete applications can be emailed to [EMAIL REDACTED] Date: Property Owner: Address Marker Made: Tech Initials__________ Address Marker Posted: Yes_______Tech Initials_________ Email: ADDRESS OF PROPERTY: ADDRESS MARKER FEE: $25.00 City/State/Zip