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PART VI BACKGROUND CLEARANCE FINDINGS for Local Department or DHR use only Applicant s Name MD CHESSIE ID 1. Have you lived in Maryland in the past If yes to either question from what years Yes No Have you worked or volunteered in Maryland in the past DHR/SSA 1279A Side 1 02/2016 edition All other versions are obsolete PRIOR ADDRESSES List all within the past 7 years in Maryland. Robert Tencher Vice president Agency Address To include street and name unit type and city state and zip code...

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