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SQ� t�� OQQUI � COMMUNITY DEVELOPMENT DEPARTMENT <br /> ---COUNTY TIME EXTENSION <br /> FILE NUMBER: �/� Los- <br /> Applicant Information <br /> Name: f�c�rlGl('1 C RU�h �OhI�S('i TrUSt• <br /> Mailing Address: 213q q S , CA1rV O�t"0 h <br /> 14p011, Cly 6(53(o6 <br /> Phone: zOq_ 403 - [PL,;2,6 <br /> Email: 1C05t'9. (,athctf C� qwlAi • COh-\ <br /> Time Extension Request <br /> Attach additional sheets as necessary <br /> Permit Number: Pja _ 200 0 205 <br /> Time extension requested: I Lj CcLs— <br /> Reason for the Time Extension request(include circumstances that have prevented the project from proceeding on schedule): <br /> On w•G co"..1 , aepa`thler,fi✓ tv <br /> sex �acn VX 1'1114ei wt o4we 6-e-en -Keo*rm anal fk?r w- eouw( <br /> et or lL -moh�th w6 s7)c lai ed t;,at we lnat. 6 • ce <br /> ex*k1SiVe1 isSM0 410oned Y+-Oiln CJVIIJ rila,ed 1*,1'f0, rs. we leave <br /> i . 'Vl Gtr! E'1Cel rtv� oUt r .)O -Jc oh <br /> e_ a vc- a, o ofQc2t-[D l <br /> h,(- caN ,ok,/nt- w2 cam get cGLY, cr Q <br /> re5c ved w4ki a (2-r,�v►-r-kN e ,si v1 . <br /> Staff Use Only <br /> Remarks: Expiration date: i <br /> Date extension filed: Application accepted by: u Receipt No: , ' `•( � �;Y <br /> Page 1 of 2 <br /> Updated 02/02/2021 <br />