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JAY COUNTY HEALTH DEPARTMENT APPLICATION FOR WASTEWATER DISPOSAL SYSTEM SEPTIC CONSTRUCTION PERMIT 1. OWNER Name ___4. INSTALLER Name ___Address___Address_________Phone ___Phone ___2. OWNERS DESIGNATED
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Obtain the required forms from the Jay County Health Department or their website.
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Fill out personal information such as name, address, contact information, and date of birth.
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Provide necessary health information requested on the form, such as medical history, current medications, and any allergies.
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Follow any specific instructions provided on the form regarding additional documentation or signatures.
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Submit the completed forms to the Jay County Health Department either in person, by mail, or online as directed.

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The Jay County Health Department is a government agency responsible for promoting and protecting the health of residents in Jay County, Indiana.
All businesses and individuals operating in Jay County are required to file with the Jay County Health Department.
You can fill out the necessary forms and submit them online or in person at the Jay County Health Department office.
The purpose of the Jay County Health Department is to prevent disease, promote healthy lifestyles, and ensure a safe environment for the residents of Jay County.
You must report information such as business operations, food handling practices, and sanitation measures on the Jay County Health Department forms.
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