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State of ConnecticutTown of Madison 8 Campus Drive, Madison, CT 06443 Phone: (203) 2455632Permit No. B16537This certifies thatPERMIT TO Builder Paid:$568.92Construction Cost:$42,000.00Date Issued:9×26/2016Mark
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1. Start by obtaining the form from the Madison Health Department or their website.
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Madison health department 8 refers to a form required to be filed by certain individuals or entities in Madison related to health information.
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