HomeMy WebLinkAboutSL151091_Extension request approvedDec 131603:48p R J Bermudez 9495595004 p.2
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Request �tend' Ian Chec e:r It
Date: 176DF1IPPI& 1�7k[ (p
Attention: Hadi Tabatabaee, County of Orange Building Official
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Job Site Address: bait aq
Permit Number(s):L� t,51c,)1
6 WAV, , the project (owner/contractor/designer) of the above referenced
permit(s), would like to request an extension. Reason for request:
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FOR OFFICE USE ONLY
County Approval ���/t� Date Z (.Ilk
Extension Time New Expiration Date
Extension Fee Yes A No El Note
a00 N. Flatter SV Sen% Ana, CA 92103 waw.xgaminq.n
P.O. B. 4048, Santa Me. CA 927024048 P:714.667.88681 F. 714.667.888
Revsea 1012015 ocpGLsfp Ie,Care�ccPrv.orgay.