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12/6/2017 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNj6gTMup51-yJPpac_0WCLXRpTYu7…2/4 <br />Connell Resources Inc. <br />7785 Highland Meadows Parkway Suite 100 <br />Ft. Collins <br />Colorado <br />80528 <br />970 223-3151 <br />M-1999-050, M-2014-001, M-1980-002, M-1981-022, M-2008-006, M-2017-021 <br />Name of Permittee or NOI Holder: * <br />Street Address: * <br />City: * <br />State: * <br />Zip: * <br />Telephone: * <br />Permit/NOI Numbers (ie M-1987-189, P-2016-026):