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Get CO Form 1022 2009-2024

Or which you may be prosecuted. Print or type all information except signatures. Regular Permit number if renewal New or Renewal? Type of permit requested Temporary/emergency New Current Expire Date County of issue ADAMS Renewal Applicant's Name (LAST, FIRST, MIDDLE) Colorado Resident? Other Names (Nickname, maiden name, alias, etc.) Date of Birth (MM/DD/YYYY) Yes Social Security Number * Colorado County of Residence** No E-Mail (Voluntary-assists us in contacting you discreetly.

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