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11/14/2019 Coal Program ePermitting Signup-Google Forms <br /> Please complete this foll I I I LU Ull t:C[Le a new tPern'll LL11 iy account to <br /> access ePermitting forms. You will receive an email with your login <br /> information within two business days. This form is for new <br /> ePermitting account activation. If you have already enrolled in <br /> ePermitting) you should not complete this form. <br /> Name of Permittee: <br /> Trapper Mining Inc. <br /> ......................................................................................................................................................... <br /> Street Address: <br /> PO Box 187 <br /> I.......................................................................................................................................... <br /> City: <br /> Craig <br /> .......................................................................................................................................................... <br /> State: * <br /> Colorado <br /> ...................................................................................................................................................... <br /> Zip: <br /> 81626 <br /> ................................................................................................................... <br /> https://docs.google.com/forms/d/l kFaOUGYvneqHl8rVn6BXL7—wkTUQtHPvUij8w6F—MaE/edit#response=ACYDBNjn8Q3J3S5Df2rE-EXVPpf8BD1 N... 2/4 <br />