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Get form 757 2014-2024

S I. Read carefully and complete all portions of the application. PLEASE TYPE or print neatly. II. Application for license may be made by the owner, administrative officer, managing agent, or member of the governing body who has responsibility for maintaining approved standards for the institution. III. RELOCATION: Must notify OSDH 30 days prior to the relocation. Please answer the following questions, on separate paper. Please provide the required information on an 8.5" x 11" attachment an.

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