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5/23/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNhRSUY1LN0-K4roMllBgmafCqoEjkR4kj6-N72tY9F5 <br />553 responses <br />Accepting responsesSUMMARYINDIVIDUAL <br />of 553 <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 />CPX Piceance Holdings LLC <br />34 S. Wynden Dr., Ste 240 <br />553 <br />Name of Permittee or NOI Holder: * <br />Street Address: *