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5/21/2021 Annual Report ePermitting Change Form-Google Forms <br /> r' <br /> Annual Report ePermitting Change Form <br /> Questions Responses <br /> 176 responses <br /> Accepting responses • <br /> Summary Question Individual <br /> < 176 of 176 $ II <br /> Responses cannot be edited <br /> ePermitting Administrator Change Form <br /> * Required <br /> C 0 L 0 RA D 0 <br /> Aj a-,dke Division of Reclarnationir <br /> tµ W Mining and Safety <br /> Department of Natural Resources <br /> https:Hdocs.google.com/forms/d/1 OY6C6w2BMyQoAmu l_DFtS5wVHlfoeUraQePxvehJJac/edit?urlBuilderpomain=state.co.us#response=ACYDBNiX... 1/4 <br />