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Submttal Number 93-090 Date Received 01/29/93 <br /> Site Gude: 242,E <br /> Site Name: ARTS & ARTISTS Lea&Agenc <br /> x:04 E LODI AV _. � contact'. <br /> � <br /> City: LODI Zip: 95240 Phone: <br /> Billing/responsible Party Information 1 <br /> A <br /> Billing Name: Bill Info ©K? <br /> Address: <br /> City: State: Zip: <br /> Contact: Phone <br /> Prope;`ty 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: <br /> Date: <br /> Title: <br /> i <br /> 4 ' <br /> Consultant Company: GAS <br /> Contact Name: Phone: <br /> Other Contact name or Info: VICTOR CHERVEN Phone: <br /> Program Element: 3526 Billing Code- Assigned To: MM <br /> Title,iof Submittal : WORKPLAN FOR ADDN MWI S , <br /> Date of Submittal : 01/14/9TT OT Request: N OT Request Date: <br /> Typedof Submittal : 11 Work Plan for Permit Activity <br /> Permit Fee Paid 89.00 <br /> Cheek No. /Cash 1017 <br /> Date; Paid 01/29/93 4 <br /> Permit Fee Paid SgJ.00 <br /> Check No. /Cash fo►� <br /> DatPa e I�ya1 jol3 <br /> Staff Review'Due: OT Scheduled' OT Completed: <br /> Act i`on Date Action Date Action Date <br /> 'a <br /> Ack/C'om Ltr Req Add. Info egstd Srp Due <br /> I' P t e <br /> Ack/Cam Ltr Recd Rev sed <br /> �'RWQCB: Comments Repo Pa Due <br /> Othr Agency Appr File/N RP Due <br /> EAdd. Info Recvd Denied Revision Due <br /> �IPermit Type: S eci Ot"h Agency Due <br /> y. p 4 y <br /> �Wrkp1,F'n Revw Comp Comment °ro.ject Complt <br /> � <br />