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Submttal Number 93--46 Date Received 05/ 5/93 Ills <br /> Site Code : 1275 - <br /> Site Name: OLD SYSTEM 99 Lead Agency : <br /> k Address: 601 S VENTURA AV Contact : <br /> City: STOCKTON Zip: 95203 Phone : <br /> Pilling/responsible Party Information <br /> kBilling Name : Bill Info OK? <br /> Address : <br /> City: State: Zip: <br /> Contact : Phone <br /> Property Owner/Operator _. <br /> I Name : Phone : rE <br /> Address : <br /> City : State : Zip: ! <br /> t- k <br /> Client Information ( if different from Owner/Operator) <br /> � _ ^Y Name : Phone: <br /> Address : <br /> City : State: Zip: <br /> Applicant9s name, date signed, title <br /> k Name: Date .- <br /> Title : <br /> ate :Title : <br /> Consultant Company : RESNA <br /> Contact Name : Phone: <br /> Other Contact name or Info. Phone : <br /> Program Element : 3526 Pilling Code Assigned To: MM <br /> Title of Submittal : PAR <br /> Date of Submittal : 05/20/93 OT Req AeSt : N OT Request Date : <br /> Type of of Submittal : 3 Assessment Repor" � <br /> I Permit Fee Paid 4 0. 00 <br /> Check No. /Cash <br /> Date Paid <br /> Permit Fee F'aid 0. 00 <br /> k1 Check No. /Cash E � <br /> � Date Paid <br /> Staff Review Due: OT Scheduled -. OT Completed: <br /> I Action Date Action Date Action Date <br /> IIIAck/Com Ltr Req Acid. Info k rp Due I <br /> IAck/Com Ltr Recd Revision 'R Due <br /> k <br /> �RWQCH Comments _ , k �0 Par Due <br /> I1Othr Agency Appr Fi a/Noy c FRF' Due <br /> Acid. Info Recvd Denied evision Due <br /> Permit Type : Special Fermi S Oth Agency Due Ik <br /> 4EWrkpin . Revw Comp Comment I Project Complt 4k <br />