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C. L. BUTCH OTTER GOVERNOR RICHARD M. ARMSTRONG DIRECTOR TAMARA PRISOCK ADMINISTRATOR DIVISION OF LICENSING CERTIFICATION STEVEN L. MILLWARD MANAGER CERTIFIED FAMILY HOME PROGRAM 1720 Westgate Dr. Ste. B Boise ID 83704 PHONE 208 334-0706 FAX 208 239-6250 www. cfh. dhw. idaho. gov Applicant Telephone Physical Address Please complete the enclosed waiver form for only the items that are marked with a check mark. Ste. B Boise ID 83704 PHONE 208 334-0706 FAX 208 239-6250 www. cfh. dhw. idaho....

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