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11/10/21, 11:49 AM Annual Report ePermitting Change Form-Google Forms <br /> p <D D <br /> Annual Report ePermitting Change Form <br /> Questions Responses Settings <br /> 217 responses <br /> Accepting responses • <br /> Summary Question Individual <br /> 216 of 217 $ II <br /> Responses cannot be edited <br /> ePermitting Administrator Change Form <br /> * Required <br /> C 0 L 0 R A D 0 <br /> Division of Reclamation, <br /> 71.E <br /> ' Mining and Safety <br /> Department of Natural Resources <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu1_DFtS5wVHIfoeUraQePxvehJJac/edit#response=ACYDBNgpaVHL5EwMewVCJ8N0_rpBk... 1/4 <br />