INFORMATION WORKSHEET Name/description of organization: ______________ __________________________________________________________ street address: _______________________________________ __________________________________________________________ Number of stories: _________________________________________ Name, address, phone of current owner/manager: Permit date for original construction: ___________ What Type of Organization and Possible Obligations: Business Private III Obligations ADA AAB Obligations  or Local Government Title II Obligations ADA Obligations AAB Organization Religious Obligations AAB Have any renovations been done? YES  NO 
INFORMATION WORKSHEET Name/description of organization: ______________ __________________________________________________________ street address: _______________________________________ __________________________________________________________ Number of stories: _________________________________________ Name, address, phone of current owner/manager: Permit date for original construction: ___________ What Type of Organization and Possible Obligations: Private Business ADA III Obligations  AAB Obligations or Local Government ADA Title II Obligations AAB Obligations Religious Organization AAB Obligations Have any renovations been done? YES  NO 
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