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Group Care Facilities <br />Zoning Ordinance Amendment <br />Page 10of 12 <br />APPLICATION FOR <br />GROUP CARE FACILITY <br />REGISTRATION CERTIFICATE <br />Regulations are applicable to groupcare facilitieshousing three (3) or fewerpersons who are <br />unrelated to the proprietor of the establishment. [Standard Industrial Classification (SIC) <br />Industry Group # 836; Industry #8361 (Residential Care)] <br />NEW:RENEWAL:AMENDMENT: <br /> :$100.00( SHALLNOT-RATED) <br />ST <br />EXPIRATION DATE:DECEMBER 31OF EACH YEAR. <br />TH <br />(SUBJECT TO RENEWAL BY 12/15OF EA. YEAR) <br />ORDINANCE #:????????Effective ?????? <br />---PLEASE PRINT LEGIBLY--- <br />ADDRESS OFFACILITY: <br />FACILITY NAME: <br />OWNER’S NAME <br />MAILING ADDRESS: <br />CITY /STATE/ZIP: <br />CONTACT NUMBER(s): <br />MAXIMUM # OF PERSONS HOUSED: <br /> <br />