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1/11/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNh1sb-LMNZr2eh1V06WsjFg3RqV4v…1/4 <br />161 responses <br />Accepting responsesSUMMARYINDIVIDUAL <br />of 161 <br />Responses cannot be edited <br />Annual Repor t ePermitting Signup <br />Please complete this form to create an ePermitting account for <br />submittal of annual reports and fees. You will receive an email with <br />your login information within one business day. <br />Rimrock Exploration and Development, Inc. <br />26164 Z 26 rd / P.O.box 340 <br />161 <br />Name of Permittee or NOI Holder: * <br />Street Address: * <br />Annual Repor t ePermitting Sig <br />QUESTIONS RESPONSES 161