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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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Anyone who owns or manages property along a lakeshore and needs to provide information about it may need the form mosaic of lakeshore.
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What is form mosaic of lakeshore?
Form mosaic of lakeshore is a document that is used to report the layout and composition of a lakeshore area.
Who is required to file form mosaic of lakeshore?
Owners of properties that are adjacent to a lakeshore are required to file form mosaic of lakeshore.
How to fill out 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.
What is the purpose of form mosaic of lakeshore?
The purpose of form mosaic of lakeshore is to monitor and protect the natural habitat of lakeshores.
What information must be reported on form mosaic of lakeshore?
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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