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S TA TE OF CON NE CTI CU T CO IN E C TI C UT S IT IN G CO UN C IL Ten Franklin Square, New Britain, CT 06051 Phone: (860× 8272935 Fax: (860× 8272950 Email: siting. Council@ct.gov Website: portal.ct.gov×CSCA
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This document is an affidavit that applicants need to file with ctgov.
All applicants are required to file this document with ctgov.
To fill out the document, applicants need to provide accurate information as indicated in the form.
The purpose of the document is to affirm the accuracy of information provided by applicants.
Applicants must report relevant personal and application details as required by ctgov.
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