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12/21/21, 10:23 AM Annual Report ePermitting Change Form-Google Forms <br /> r p � D <br /> Annual Report ePermitting Change Form <br /> Questions Responses Settings <br /> 234 responses <br /> Accepting responses • <br /> Summary Question Individual <br /> 233 of 234 $ 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=ACYDBNgIc-KIE315ODLW1 J-DGG-uOo-A... 1/4 <br />