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Lead-Safe Home Remediation Pilot Grant Program Affirmative Action Affidavit State of New Jersey County of Your County I of the Name of person completing form Name of Firm/Agency/Corporation in the County of and State of New Jersey of full age being duly sworn according to law on my oath depose and say that I am owner partner officer representative or agent of the firm of circle one remediation of and that I executed the said proposal with full Name of Project or Bid Package authority to do so...
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