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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012628 <br /> DATE RECEIVED by EHD: October 30,2019 APPL#: PA-1900118 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Mon, November 18, 2019 <br /> Assigned to : EE0000418 KITH <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: Al DNF Public Sewer: NON <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> PtT Lo>J <br /> 1,A-NSDU.{ " <br /> I recommend: Approval F-1 Denial 1-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: G <br /> [_QA 11h ck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 01,2019 <br />