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X 6 Total Fees. Fees verified by Print and Sign PC-DAD. Mod2 Rev.11-30-2016 Page 1 of 2 www. ladbs. It is the petitioner s responsibility to make sure the federal accessibility requirements are complied with. FEES DEPARTMENT USE ONLY Appeal Processing Fee. No. of Items X 130 39/addl Inspection Fee. No of Insp. X 84. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing is true and correct. FEES DEPARTMENT USE ONLY Appeal Processing Fee. No. of Items X...

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