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Per-mit Type: MLAJ Special Perarit Issued: 0th Agency_ Due <br /> r pin �evw C . ` ,3,t3 Cow t Ltr Sent Project C 'It <br /> Submttal Number 93-380 Date Received 04/21/93 <br /> Site Code: 9023 <br /> Site Name: TOWER PARK MARINA Lead Agency: <br /> Address: 14900 W HWY 12 Contact: <br /> City: LODI Zip: 95242 Phone: <br /> Billing/responsible Party Information <br /> Billing Name: Bill Info OK? <br /> Address: <br /> City: State: Zip: <br /> Contact: Phone <br /> Property Owner/Operator <br /> Name: Phone: <br /> Address: <br /> City: State: Zip: <br /> Client Information (if different from Owner/Operator) <br /> Name: Phone: <br /> Address: <br /> City: State: Zip: <br /> Applicant' s name, date signed, title <br /> Name: Date: <br /> Title: <br /> Consultant Company: LAW/CRANDAL <br /> Contact Name: Phone: <br /> Other Contact name or Info: Phone: <br /> Program Element�2960 <br /> Billing Code: Assigned To: MI <br /> Title of Submittal: WORKPLAN FOR ASST <br /> Date of Submittal: 04/20/93 OT Request: N OT Request Date: <br /> Type of Submittal : 2 Site Assessment Work Plan <br /> Permit Fee Paid 89. 00 <br /> Check No. /Cash 4902 <br /> Date Paid 04/19/93 <br /> Permit Fee Paid 234.00 <br /> Check No. /Cash <br /> Date Paid 04/19/93 <br /> Staff Review Due: OT Scheduled: OT Completed: <br /> Action Date Action Date Action Date <br /> Ack/Com Ltr Req Add. Info Reqstd Srp Due <br /> Ack/Com Ltr Recd Revision Reqsted PR Due <br /> RWQCB Comments Report Revw Comp Par Due I <br /> Othr Agency Appr File/No Action FRP Due <br /> .i L..€., 0er.1114 _nnn;�r! _ _ eut e i...t T1"n !. <br />