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11/12/2019 Annual Report ePermitting Change Form-Google Forms <br /> QUESTIONS RESPONSES <br /> 72 responses <br /> SUMMARY INDIVIF" I A I Accepting responses • <br /> 72 of 72 � ■ <br /> Responses cannot be edited <br /> ePermitting Administrator Change Form <br /> Required <br /> C 0 L 0 R A D 0 <br /> Division cif F eclamation, <br /> fm Mining and Safty <br /> Dcpartrncnt of Natural Resources <br /> Please complete this form to update the ePermitting Administrator <br /> for submittal of annual reports and fees. This form is for changing <br /> the name and/or email address of the administrator on existing <br /> ePermitting accounts. You will receive an email confirming your <br /> changes within two business days. <br /> https://docs.google.com/forms/d/l QY6C6w2BMyQoAmu1—DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNj-OYUr-PLI ruOEqoqlVl HCaiUAl... 1/4 <br />