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Get OH PLNT-PF-4202-001 2008-2021

@agri.ohio.gov www.agri.ohio.gov APPLICATION FOR REGISTRATION OF AN AGRICULTURAL ADDITIVE In accordance with the provisions of Section 905.03, of the Ohio Revised Code, application is made for registration of the following agricultural additive for JANUARY 1, 20__ through DECEMBER 31, 20__. COMPANY ID: NAME: SUBMITTED BY: ADDRESS: ADDRESS: CITY, STATE, ZIP: CITY, STATE, ZIP: OHIO COUNTY: OHIO COUNTY: PHONE NUMBER: PHONE NUMBER: FAX NUMBER: FAX NUMBER: E-MAIL ADDRESS: E-MAIL ADDRESS.

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