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FOR BHF USELL1 2020STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2020)I.DPH License ID Number: Facility
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Provide information about the lakeshore area you are referring to in the form.
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Form mosaic of lakeshore is a document that is used to report the layout and composition of a lakeshore area.
Owners of properties that are adjacent to a lakeshore are required to file form mosaic of lakeshore.
Form mosaic of lakeshore can be filled out by providing detailed information about the shoreline, vegetation, and any man-made structures.
The purpose of form mosaic of lakeshore is to monitor and protect the natural habitat of lakeshores.
Information such as the type of vegetation, presence of wildlife, and any alterations made to the lakeshore must be reported on form mosaic of lakeshore.
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