SW5181001_Staff Review Form_12/6/2018

Action History (UTC-05:00) Eastern Time (US & Canada)
by Workflow 12/6/2018 2:35:51 PM (Workflow Start Event)
Approved by Anen, Steven C 3/8/2019 9:57:54 AM (CO Staff Review form)
The task was assigned to Anen, Steven C 12/6/2018 2:35 PM

Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Submission Type
ID #
SW5181001
Project Name: Franklin Medical Center — 20 Bed
Expansion
Contact Email(s):
[e-mail]
County(ies)
Franklin
Web Access Link to Project File
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