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Get CO Form 1022 2009

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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