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Lic 9151 2005
That
(PRINT FACILITY ADDRESS)
__________________________________________________ is currently or will be
(PRINT APPLICANT’S/LICENSEE’S NAME)
operating a licensed Family Child Care Home at this address
The sole purpose of this notice is to advise you of the current use or intended use of the
above property. The property owner/landlord is prohibited by law from imposing any
direct or indirect restrictions on, or prohibitions against, the tenant’s operation of the
Family Child Care Home on the...
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