Jakim/(s)/(22.00)/72 department of islamic development malaysia (jakim) block d7, federal government administration centre, 62519 putrajaya, malaysia. tel: 64 fax: 603-94951 web page: .halaljakim.gov.my procedures for appointment of foreign halal...
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Form wh-1 supplemental page 3 serial no. file only for wells that have been hydraulically fracture stimulated work permit no. operator code well name & no. operator part i water supply information for hydraulically fractured wells, list below all...
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State of wisconsin department of natural resources this is a worksheet only use this blank form as your worksheet only. do not send in your report using this worksheet. if you wish to submit in hard copy format, contact dan werner at 608-267-7622...
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State of wisconsin department of natural resources acknowledgement of receipt by dnr form 3400-105 date of receipt type of project dnr region project number rev. 9-99 leave blank - for dnr use only name and address of owner (clerk of municipality,...
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Florence nightingale health center adult resident s written consent for issuance of a do not resuscitate order resident s name resident s room# date resident s id# i, request that m.d (adult resident s name) (attending physician s name) my...
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General permit request for coverage noncontact cooling water, refrigeration condensate, and boiler blowdown wpdes permit no. wi-0044938-5 state of wisconsin department of natural resources rev. 1/10/13 for dnr use only date rec'd complete re-sent...
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Time of transfer inspection report (dnr form 542-0191) property information current owner buyer realtor mailing address site address/county no. of bedrooms last occupied? disposal? y / n softener? y / n h2o supply? records available...
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Iowa department of natural resources law enforcement bureau - licensing section 502 east 9th street, des moines, ia 50319-0034 phone: (515) 281-5918 .iowadnr.gov for department use only trans #: code #: issued by: date issued: application for free...
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Print form "how to file a complete notice of intent" for npdes general permit no.1 for "storm water discharge associated with industrial activity" or npdes general permit no.2 for " storm water discharge associated with industrial activity for...
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Missouri department of natural resources air pollution control program for office use only log # cert. # exp. date remarks delivery vessel pressure test certification application truck identification company name mailing address owner telephone...
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2016 her majesty the queen in right of the province of nova scotia. published by authority of the speaker of the house medical officers to protect public health . . duty to report health hazard. municipal government act amended . . nurses for...
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Print form state of wisconsin department of natural resources dnr.wi.gov managed forest law notice of land conveyance and petition for transfer form 2450-159 (r 3/06) page 1 of 2 mail completed form to the dnr forester in the county* where the...
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Print mail to: department of natural resources mississippi river license application - cs/1 po box 7924 madison, wi 53707-7924 mississippi and st. croix rivers fishing license application form 9400-020 (r 6/09) pursuant to the provisions of s....
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Missouri department of natural resources water protection program, water pollution branch for agency use only check no. form f application for approval or permit for concentrated animal feeding operation date received fee submitted type applied...
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Order form do not resuscitate (dnr) medical orders for scope of treatment (most) the medical orders for scope of treatment (most) form and the do not resuscitate (dnr) form may only be ordered by a physician s office or licensed health care
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