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REQUEST FOR PERMIT <br />EXTENSION / REFUND <br /> <br />APPLICANT'S NAME: /~/?,~_~'~ ~' _~?(_ TELEPHONE:~'~ ) <br /> <br />PLEASECHECK <br /> <br />__ EXTENSION OR <br /> <br />L..,~EFUND <br /> <br />ACTMTY NUMBER:. <br /> <br />REASON PROJECT NOT COMPLETED BY EXPIRATION DATE: <br /> <br /> / <br /> <br />EXPECTED TIME FOR COMPLETION: <br /> <br />pLEASE ALLOW 5 BUSINESS DAYS TO PROCESS EXTENSION REQUESTS AND <br />ALLOW UP TO 3 WEEKS TO PROCESS REFUNDS. <br /> <br /> <br />