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Department of Health and Social Services Division of Senior and Disabilities Services PROPERTY OWNERS CONSENT TO ENVIRONMENTAL MODIFICATIONProperty Owner Information Full Name: Mailing Address: City,
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How to fill out wwwdshswagovwashington state department of
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The Washington State Department of Social and Health Services (DSHS) provides assistance programs to help individuals and families in need.
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You must report your income, expenses, household size, and any other information requested by DSHS to determine eligibility for assistance.
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