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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0012338 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: June 10,2019 APPL#: PA-1900118 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILLIPO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Fri, June 28, 2019 Assigned to : EE0009833 KAUR <br /> SITE ADDRESS: 6484 N WAVERLY RD,LINDEN APN : 09344002 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house,wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval El Denial El Continuance El Inspector: <br /> Signature <br /> SSru ervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> June 18,20IS <br /> EH 06 06 Report 47201 <br />