Plan Resubmittal Swimming Pool / Swimming Facility / / /
IndustryTerm
similar equipment / /
NaturalFeature
Bathing Beach / Lazy River / /
Organization
Illinois Department of Public Health Division of Environmental Health / United States Internal Revenue Service / Authority of the State / Illinois Department of Public Health / Signature of Property Owner Date A COMPLETED FLOOD HAZARD FORM MUST ACCOMPANY THIS APPLICATION IMPORTANT NOTICE This / Illinois Illinois Department of Public Health DATE RECEIVED / / /