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9/18/2019 Annual Report ePermitting Change Form-Google Forms <br /> 4nnual Report ePermitting <br /> QUESTIONS RESPONSES <br /> 58 responses <br /> SUMMARY Accepting responses • <br /> -mob.. <br /> 58 of 58 ■ <br /> Responses cannot be edited <br /> ePermitting Administrator Change Form <br /> Required <br /> C 0 L 0 R A D 0 <br /> D ivision of eltion, <br /> TM VIP Mining and Safety <br /> Dcpartmcnt of Natural Resources <br /> Please complete this form to update the ePermitting Administrator for submittal of annual <br /> reports and fees. This form is for changing the name and/or email address of the <br /> administrator on existing ePermitting accounts. You will receive an email confirming your <br /> changes within two business days. <br /> Name of Permittee or N01 Holder: <br /> Todd Creek Village Metro District <br /> ....................................... ............................................. <br /> Permit/N01 Numbers (ie M-1 987-189) P-2016-026): <br /> M-2017-013 <br /> ........................................ <br /> https://docs.google.com/forms/d/l QY6C6w2BMyQoAmu1—DFtS5wVHlfoeUraQePxvehJJac/edit#response=ACYDBNi8RHN5-cr32jSGa56NDtAZHRM... 1/3 <br />