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2. Title II Compliance
   In accordance with the requirements of Title II of the Americans with Disabilities Act (“ADA”) of 1990, the Fair Employment & Housing Act (“FEHA”), the Rehabilitation Act of 1973 (as amended), Government Code section 11135 and other applicable codes, the City of Modesto (“City”) will not discriminate against individuals on the basis of disability in the City’s services, programs, or activities. For more information, please visit the City of Modesto website.
6. First Name*
7. Last Name*
8. Phone Number *
10. Email Address*
11. Permit Number
13. Appointment Requested For:*
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15. Street Address (that you are inquiring about)*
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