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OFFICE USE ONLY Arizona State Board of Optometry 1740 W. Adams St., Third Floor Phoenix, AZ 85007 Telephone (602) 5428164 Fax (602) 8837253STATE BOARD CERTIFICATION AND LICENSE VERIFICATION ENDORSEMENT
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Anyone who owns property on the third floor or manages a business on the third floor may be required to file.
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To fill out the third floor, you need to provide information about the property or business located on that floor.
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The purpose of third floor is to provide additional space for living or working.
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Information such as the square footage, layout, and amenities of the third floor must be reported.
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