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Submttal Number 93-461 Date Received 05/25/93 - Site Code : 1013 x ESite Name : COS - FIRE STA #E Lead Agency : I Address : 1501 PICARDY DR Contact : I City : STOCKTON Zip: 95203 Phone- E Pilling/responsible Party Information IBilling Name : Pill Info OK? I Address : City : State : Zip: I Contact : Phone I Property Owner/Operator Name : Phone : Address : City : State: Zip.- Client ip:Client Information ( if different from Owner/Operator) Name: Phone : Address : I City: State : Zip: Applicant' s name, date signed, title Name : Date: I Title : Consultant Company : RESNA I Contact Name : Phone : Other Contact name or Info : Phone : I 'I Program Element : 3527 � Pilling Code : TAssigned To: DH tI Title of Submittal : REQUEST FOR CLOSURE E Date of Submittal : 05/20/93 OT Request : N OT Request Date: Type of Submittal : 18 Letter iPermit Fee Paid 0. 00 I I Check No. /Cash II Date Paid E E II Permit Fee Paid 0. 00 E I 1 E II Check No. /Cash ! II I Date Paid Staff Review Due : OT Scheduled: OT Completed : r- 111 II Action Date E Action Date Action Date II k ylAck/Com Ltr Req Add. Info Reqstd Srp Due II EIAck/Com Ltr Recd Revision gste PR Due II ERWQCS Comments Report v r Par Due �Othr Agency Appr File/ -z(P -g FRP Due II Add. Info Recvd Deni Revision Date II E�Permit Type : Special P m Oth Agency Due II IlWrkpin Revw Comp IComment .�-ZI�(�3 I Project Complt EL !