Laserfiche WebLink
Referrals <br />52. Have you thought about how long it will take you to vacate this location? No ❑ Yes ❑ Time required: <br />52a. What specialist(s) will be required to execute the move? <br />52b. Would you care to share some of those ideas or concerns with as? <br />53. Do you need assistance with permits and /or license? Yes ❑ No ❑ Maybe ❑ <br />53a. Can you provide the Agency with copies of any licenses or permits: Yes ❑ No ❑ <br />54. The Agency's relocation program reimburses for certain expenses. What financial sources will you use to pay for <br />relocation expenses, subject to reimbursement? <br />❑ Cash ❑ Bank ❑ Other: <br />55. Do you have any special needs and /or disability? Yes ❑ No ❑ <br />55a. If yes, please explain: <br />56. What is your most immediate concern at this moment? <br />Initials of Respondent: Initials of Interviewer. <br />Page 10 of 11, Non - Residential Survey /Interview 55B-51 08114 <br />