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5/5/2020 Annual Report ePermitting Signup-Google Forms <br /> Please complete this form to create a new ePermitting account for submittal of annual <br /> reports and fees. You will receive an email with your login information within two business <br /> days. This form is for new ePermitting account activation. If you have already enrolled in <br /> ePermitting, you should not complete this form. <br /> Name of Permittee or NOI Holder: " <br /> Asteroid Explorations LLC <br /> ................................................................................ <br /> Street Address: <br /> PO box 851 <br /> City: <br /> Nucla <br /> ................................................................................................................................................................................ <br /> State: <br /> Colorado <br /> Zip: <br /> 81424 <br /> ................ <br /> Telephone: <br /> 970-428-3850 <br /> https://docs.google.com/forms/d/l lrxOW3YTBhUgGtgfeXDsK5GkvVjw_jFE-9jmiKZURFs/edit#response=ACYDBNgP1 TsJg-wO-FOHC-20K2MkPDSnu... 2/4 <br />