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MIMER FILE RECORD INFORMATIO*1 M <br />SIDE PS <br />'I I 10 county P r o g /Sub E 1 e m Carputa No. <br />LF-ILil Z['0101, <br />E.H . (assigned by clerk) <br />P/S.E. Local Com . Number Su Dist. <br />�lE�l <br />I S I i I M p IL I 11L] 1z cn <br />Previous Camp. Numom Effective oite <br />171 -1 1 1 <br />j <br />SITE NAME (30 choractors) <br />• � • 11 /.►.� <br />Location Code Fee Ex. <br />Other Program Activity <br />SITE Address (no:/iii r/Street/Suffi.x/Suite) Site City/State/Zi p <br />100777 H owl qs3 i <br />E'r'g 4F cPr7) 9gOS1 (4$IA <br />PREVIOUS ODA <br />Bi 11 i n flame <br />Bulling Address (No/Dir/Street/Suffix/Suite) Billing' City/State/Zi <br />i Bx 193 - <br />ions <br />9ions in IggD <br />ESI WE <br />! 5eIlats <br />Scl. Ft. <br />N Units <br />OWNER N&ME: (00 chwaCtc(3) . <br />LA -t krw , CA 9 53 <br />SITE TELEf"'101I, NVf.4001 <br />N<�R <br />o 5' -LI #I—> l id <br />aNNEIAddress (Ho./Dir/Street/Suffix/Suite) Owner City/State/Zip <br />SPECIAL PROGRAM INFOR!IATION No. of S4rvlce "Source of Tre+imtnt popul.tlon <br />Conncctlont 5uppiy Typa Served <br />Ric, health PlatL_E] <br />er D <br />ADDI TI OVAL C014MENTS <br />San.Sup. AC SC <br />n101 <br />EII 01 15 MF -1 <br />