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PRINTED: 01/16/2020 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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113 Courtland Drive is a residential address located in the city of Springfield.
The owner or tenant of the property located at 113 Courtland Drive is required to file.
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The purpose of 113 Courtland Drive is to keep accurate records of residential properties for tax and census purposes.
The information that must be reported on 113 Courtland Drive includes details about the property owner or tenant, occupants of the property, and any relevant property details such as number of bedrooms, bathrooms, etc.
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