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Public Reporting BurdenWordReference Forums Form
Accordance with 40 U.S.C. CERTIFICATION I CERTIFY that the above information is true and correct. SIGNATURE OF APPLICANT DATE SIGNED PART II - PERMIT TO BE COMPLETED BY GSA ONLY DESIGNATED BUILDING AND AREA ACTUAL DATES AND HOURS FOR WHICH ACTIVITY APPROVED BUILDING AREA GSA APPROVING OFFICIAL SIGNATURE GENERAL SERVICES ADMINISTRATION NAME OF OFFICIAL GSA 3453 REV. Special terms and conditions related to this permit are listed below and continued on the following page s if necessary If the...
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