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Attendant INFORMATION FORM Willis town Township 688 Sugar town Road Tavern, PA 19355 Phone 610.647.5300Fax 610.647.8156Pursuant to Ordinance 3 of 1991, all property owners must report, in writing

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688 Sugartown Road is a location/address.

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The party responsible for the property or activity at 688 Sugartown Road is required to file.

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