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SU0010000
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WAVERLY
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2600 - Land Use Program
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PA-1400044
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SU0010000
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Last modified
11/12/2019 4:38:04 PM
Creation date
9/9/2019 11:03:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010000
PE
2656
FACILITY_NAME
PA-1400044
STREET_NUMBER
8000
Direction
N
STREET_NAME
WAVERLY
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09345005
ENTERED_DATE
3/26/2014 12:00:00 AM
SITE_LOCATION
8000 N WAVERLY RD
RECEIVED_DATE
3/26/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\W\WAVERLY\8000- SEE 8020 WAVERLY\PA-1400044\SU0010000\EH COND.PDF
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010000 <br /> DATE RECEIVED by EHD: March 26,2014 APPL#: PA-1400044 — SWE 8a20 4494 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE: 2656 Ox -q0-03 <br /> REVISIONS TO ACTIONS(RA) <br /> COMPLETE &SUBMIT BY: Tue, April 15, 2014 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 8000 N WAVERLY RD, LINDEN APN: 09345005 <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: F " , AzoLBJ , <br /> i -I-�zr� <br /> Tf a±47c3-(7-Y 4C ZIfE/37g292zy ct�i4S�r� <br /> J&/ O!, / .2 <br /> A)66- 7 tib`,Os Alp c-sh cV7��-, zt11-Its <br /> I recommend: Approval 2 Denial 1:1 Continuance � Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: y- 7- 1 <br /> /Y <br /> OA 1 Check Off List: Proofread Report? Correct LAND USE#7 <br /> Correct CONDMON(S)7 Logged in LAND USE Book? <br /> EH 0606 Report#7201 �lorch'_n. I1 <br />
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