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A. R. 28-72-21 AUTHORIZED SIGNATURE NOTE APPLICATION IS NOT COMPLETE WITHOUT SIGNITURE DATE Rev 10/10. If applicable If 5 is not applicable written verification that the firm is not required to be registered. KDHE USE ONLY Please type or print legibly. Kshealthyhomes. org GENERAL INFORMATION An entity shall make applications and be licensed by the Kansas Department of Health Environment as a Lead Activity Firm prior to conducting leadbased paint activities such as Abatement Lead Inspections...
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