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Bureau of Water Protection and Land Reuse Land & Water Resources Division 79 Elm Street Hartford, CT 061065127www.ct.gov/deepAffirmative Action/Equal Opportunity Employer Connecticut Department of

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2. Start by gathering all the required information about the licensee, such as their full name, address, contact details, and any other relevant details.
3. Open the licensees Louise a form or document, either in a physical format or digitally.
4. Begin by entering the licensee's full name in the designated space provided.
5. Move on to entering their address details, including street address, city, state, and zip code.
6. Fill in the contact details of the licensee, such as phone number and email address.
7. If there are any specific requirements or additional information needed, ensure to fill those sections accordingly.
8. Review the filled-out form/document for any errors or missing information.
9. Once you are satisfied with the accuracy of the information provided, sign and date the form/document.
10. Make a copy of the filled-out form/document for your records.
11. Submit the completed licensees Louise a form as per the instructions provided, whether it's through online submission or by mailing it to the appropriate authorities.

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