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18 <br />LICENSE FEE SCHEDULE <br />DEPARHENT OF HUMAN SERVICES <br />DIVISION OF LICENSING <br />PLEASE RETURN YOUR APPLICATION TO:PLEASE RETURN THIS FORM WITH YOUR FEE TO: <br />DIVISION OF LICENSING <br />DEPARTMENT OF HUMAN SERVICES <br />444 LAFAYETTE ROAD <br />ST. PAUL. MN 55155-384^ <br />CASHIER <br />DEPARTMENT OF HUMAN SERVICES <br />444 LAFAYETTE ROAD <br />ST. PAUL, MN 55155-3811 <br />NAME OF CORPORATION OR PERSON(S) MAKING REMITTANCE <br />NAME OF PROGRAM BEING LICENSED <br />(Please be specific) <br />ADDRESS <br />Please identify program fith exact name and address. YOU OPERATE MORE THAN ONE PROGRAM.THIS IS ESPECIALLY IMPORTANT TF <br />NUMBER OF PARTICIPANTS FOR WHICH YOU HILL BE LICENSED (CAPACITY) <br />AMOUNT OF CHECK $ <br />ANNUAL LICENSING FEE SCHEDULE - EFFECTIVE JULY 1. 1S91 <br />CHILDREN'S PROGRAMS <br />base fee <br />Group Day Care Centers $27.50 ♦ ($3.00 X L.C.*) <br />Group Day Care Half-Day Centers (Licensed Biennially) <br />Child Caring/Placing Agencies <br />$55.00 * ($6.00 X L.C.) <br />$55.00 ($.80 for each <br />adoption & foster home**) <br />* L.C. • Licensed Capacity <br />**Mopt1on and foster homes • Each adoption decree granted by a court In the previous <br />No fees charged to Family Foster Care Homes, Adult Foster Care Homes, Family Day Care <br />Homes, State Residential Treatment Centers or State Nursing Homes (unless the Nursing Home operates a day care center). . % «