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1/18/22, 1:31 PM Annual Report ePermitting Change Form-Google Forms <br /> p <D D <br /> Annual Report ePermitting Change Form <br /> Questions Responses Settings <br /> 236 responses <br /> Accepting responses • <br /> Summary Question Individual <br /> 236 of 236 $ II <br /> Responses cannot be edited <br /> ePermitting Administrator Change Form <br /> * Required <br /> A 4 <br /> COLORADO <br /> L * <br /> Division of Reclamation, <br /> 7Ai <br /> ' Mining and Safety <br /> Department of Natural Resources <br /> https://docs.google.com/forms/d/1 QY6C6w2BMyQoAmu 1_DFtS5wVHIfoeUraQePxvehJJac/edit#response=ACYDBNj3ri 1 OVPpzFST6WEikFZtPctpO... 1/4 <br />