HomeMy WebLinkAboutRS160070_Extension LetterPublicWorks
Request to Extend Plan Check/Permit
Date: % Z 6 — 7—V (7
Attention: Nadi Tabatabaee, County of Orange Building Official
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Job Site Address: CS/UC'r4N✓ die/V>S &nf (ILA-f '-
PermitNumber(s): k/60a7U
i, �(qii J z5a/ ' the project (owner/comratto esigner f the above referenced
permit)s), would like to request an extension. Reason for request: �yM1!!�p % /c2�
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Name: 2?i8h/I�
Telephone Number: 749 �6f o — 045-�
Signat---
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County Approval ��« ,t Date
Extension Time 1 New ExpuxtI n ate
Extension Fee Yes No Note
300 N. Flower SWW, Santa Ana, CA 92703
P.O. Box 4048. Santa Awe, CA 927024048
Revised 112017
www.ocpubha wks.=n
P:714.667.99a91 F: 714.667.8895
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