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REASON LISTED BELOW. THE AUTHORIZED REPRESENTATIVE OF DHSS DIVISION OF DEVELOPMENTAL DISABILITIES SERVICES HEREBY AUTHORIZES THE PROVIDER TO EXECUTE THE ABOVE REQUESTED LEASE OR LEASE RENEWAL. EVALUATED BY Signature of DDDS OBCBS Management Analyst AUTHORIZED BY Last Updated 5/9/17. PROPERTY LEASE DETAILS i. LESSOR NAME ii. LESSOR ADDRESS REPRESENTATIVE iii. LESSOR PHONE iv. LEASE TERM EFFECTIVE DATE v. MONTHLY LEASE AMOUNT ENDING DATE IF RENEWING PREVIOUS MONTHLY LEASE AMOUNT WAS vi. FIRST...
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