Laserfiche WebLink
9/17/2019 Annual Report ePermitting Signup-Google Forms <br /> 4nnual Report ePermitting <br /> QUESTIONS RESPONSES 1,069 <br /> 1,069 responses <br /> SUMMARY Accepting responses • <br /> 1069 of 1069 ■ <br /> Responses cannot be edited <br /> Annual Report ePermitting Signup <br /> R e q Lli�",q d <br /> COLORADO <br /> Division of l atio , <br /> TIA Mining and Safety <br /> Department of Natural Rcsou-rces <br /> Please complete this form to create a new ePermitting account for submittal of annual reports <br /> and fees. You will receive an email with your login information within two business days. This <br /> form is for new ePermitting account activation. If you have already enrolled in ePermitting, you <br /> should not complete thi-q form. <br /> Name of Permittee or NOI Holder: <br /> Select Materials <br /> ........................................................................................................................................................................................................................ <br /> Street Address: '- <br /> 17269 county road 12 <br /> ................................. .............I <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUqGtqfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNh9bHPmsNKuoYBcrwk6O9VcXB85... 1/3 <br />