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HomeMy WebLinkAboutPermit Miscellaneous 1993-4-11 . . . . . lane county REQUEST FOR EXTENSION OF CONSTRUCTION/PLACEMENT PERMI~ TRS, Tl: /1- z;3 3 Cf-'f/f .3f)cJ BUILDING PERMIT # 01,l..J7'-- q ~ NAME: Q R e e n -s l.J (', '..s ADDRESS: k.j '1 .3 g . /VI n , ...----. PHONE: '70<'<0- 71 ~ 0 I nL:. ~ Y'. .spf=d, nR. C)'lLJ7fS REASON FOR EXTENSION OF PERMIT AND TIME NEEDED: . PeR rn L" f- -F ~ C) . . ,'5hOrYlr()cJ.<. VCLL00CT RPljl.l{f;;>P.::Y 0./':;;0 n. (' I +1../ nr e (.I r; pn (Q ,.D P R rn l f~ r ,"+( I of PU/)pnp //)0" ~7-f- 4/=. q I .... 0'-1 / ;;{ 3-0 / ~ ) n ,c., L S-S U co d OJ P n rJ oP "'.S..~ 0-f- - ~t Q,;::- nr Tn!! 0 ~"GO COu Ie::! !)(')+ ,-c:.J--n/l,f} r_{)-y-j\..c:;-f;eLL.Cf(~ (,'--' -I,'p -c h er-,. 'R e.q r I IJ .n -p 6 -'YJ 0Y1..:fr h -e Jc -;-- ens uyn APPLICANT SIGNATURqo..J' _/LLL.Q [A.J...g () () 8 n.c: DATE / I ~ 7 - q G7) PERMIT ISSUANCE DATE !':l4--6...q"J.-- ------------------------------------------------------------------------------------- EXTENSION REQUEST ON BPD (/(41.-1'1--- HAS BEEN ~~ A NEW APPLICATION MUST BE SUBMITTED AFTER EXP I RATION DATE ~4- I \ ~ ~ '7 BUILDING OFFICIAL / P:?-/i?:-- DATE BUILDING & SANITATION DIVISION I ENVIRON~.'li:NTAl MANAGEMENT DEPARTMENT 125 EAS T gTH AVENUE I PUBLIC SERVICE BUILOING I EUGENE. OREGON 97<01 I (5031 G87..4OG1