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AC On County <br />© 3 <br />M FILE RECORD INFOR"10t� <br />S 11 E � �``�� <br />Pro/Sub Elem ccffPAwNo. <br />(assigned by caerK <br />Su Dist. <br />03 �� <br />Effective Date <br />UiZLT41 <br />E.H. <br />P/S.E. Local Com Number <br />TE <br />.E <br />Previous Comp, NUMOER <br />0:1= <br />S4TE NAME (00 ctwractora) <br />SITE Address (no./Dir/Street/Suffix/Suite) <br />Lc)o ! 5c-- <br />PREVIOUS DDA <br />Billing dame <br />Loca�i�,ICodeFe <br />11 <br />Other Program Activity <br />0 <br />'ite City/State/Zip <br />Lci�l.r-° <br />LPAeh 009-gl5-633 <br />O- . <br />Billing .Address (No/Dir/Street/Suffix/Suite} Dillila'City/State/Zip <br />1 1 Mctd_4' soP Ove - �o fe cdo 0a X- 9r� <br />-5 ESI SIZE 54TE TELT Ni0 .'E NMIBE14 <br />I Seats <br />/ F �= Ig Units N40 a csi ) 5 <br />OWNER KWE (00 crwactM) . <br />OWNER Address (No./Dir/Street/Suffix/Suite) Omer City/State/Zip <br />F-Pop•+1 tion <br />No. of Sarvtca Source of Treatment <br />dSPECIAL PROGRAM liiFOR;1A7I0N Z:onneetlom Supdv Tvot Served <br />Rec. health '�Jater �� L�I---� <br />ADDITIONAL COMMENTS: <br />San. <br />EII 01 151-1 <br />Sr, <br />sup. AC <br />