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7/11/2018 Annual Report ePermitting Signup - Google Forms <br />https://docs.google.com/forms/d/1lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNhI7h9M0_68oIdI8OcQa-OHIst3dmh…1/3 <br />649 responses <br />Accepting responsesSUMMARYINDIVIDUAL <br />of 649 <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 two business days. <br />Smuggler Gold Mine, LLC <br />PO Box 661 <br />649 <br />Name of Permittee or NOI Holder: * <br />Street Address: * <br />Annual Report ePermitting Signup <br />QUESTIONS RESPONSES 649