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DEPARTMENT OF HEALTH SERVICESSTATE OF WISCONSIN Division of Quality Assurance F62537 (01/2018) STATE OF WISCONSIN Page 0 of 43 PETITION FOR BUILDING CODE VARIANCE INSTRUCTIONS Completion of this form
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It is a form provided by the Department of Health Services in Wisconsin.
Any individual or entity that meets the criteria set by the Department of Health Services.
You can fill out the form online on the Department of Health Services website or by filling out a physical copy and submitting it via mail.
The purpose of the form is to collect specific information for health services in Wisconsin.
The form may require information such as personal details, health history, and any relevant medical records.
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