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LOREN MILLER RESIDENCE 647 North Micheltorena Street CHC2022786HCM ENV2022787CEAgenda packet includes: 1. Final Determination Staff Recommendation Report 2. Commission/ Staff Site Inspection Photos

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Workers' Compensation and Employers' Liability Insurance for the State of California.

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Employers in California who have employees.

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The purpose of the form is to report on the workers' compensation and employers' liability insurance coverage for employees in California.

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Employer information, insurance provider information, policy number, effective dates, and other related details.

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