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LARA/SUB022 (5/13) Michigan Department of Licensing and Regulatory Affairs Bureau of Health Care Services Health Facilities Division Substance Abuse Program P.O. Box 30664 Lansing, MI 48909 (517)
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Appendix C application is used for requesting a specific permit or license.
Businesses and individuals who need to obtain a permit or license.
You must provide detailed information about your business and the type of permit or license you are applying for.
The purpose of the appendix C application is to ensure that businesses and individuals are operating legally and in compliance with regulations.
You must report information such as your business name, address, contact details, type of permit or license requested, and any supporting documentation.
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