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The document is a Request for Approved Program Capacity (APC) and Noncontiguous Clearance Form, used by service providers to request various actions related to licensed or unlicensed residential service locations. It includes sections for different types of requests such as establishing, changing, or closing APCs, along with required information about the service location and the individuals served. The form also outlines the necessary approvals and documentation needed for each type of request.

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2019	4.6 Satisfied (54 Votes)

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