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Direct Patient Assistance Application MUST BE SUBMITTED BY A MEDICAL PROFESSIONAL STEP 1 Completed by LCSW/Patient Navigator/Medical Professional Name of LCSW/Medical Professional: Telephone: Email:
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What is application must be submitted?
The application that must be submitted is for a building permit.
Who is required to file application must be submitted?
The property owner or their authorized representative is required to file the application.
How to fill out application must be submitted?
The application must be filled out completely and accurately, providing all required information and documentation.
What is the purpose of application must be submitted?
The purpose of the application is to obtain approval from the local authorities to begin construction or renovation of a building.
What information must be reported on application must be submitted?
The application must include details about the project, such as the proposed construction plans, site location, intended use of the building, and contact information for the applicant.
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