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3/8/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgH5U5oZcf_DJ9_az11wZhjkkTOwj…1/3 <br />383 responses <br />Accepting responsesSUMMARYINDIVIDUAL <br />of 383 <br />Responses cannot be edited <br />Annual Repor t ePermitting Signup <br />* Required <br />Please complete this form to create an ePermitting account for submittal of annual reports <br />and fees. You will receive an email with your login information within one business day. <br />High Mountain Mining Co., LLC <br />3040 S Vallejo St. <br />383 <br />Name of Permittee or NOI Holder: * <br />Street Address: *