Form Wr-24 - Application For Extension Of Time In Which To Perfect An Appropriation Of Surface Waters

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File Number: _______________
(For OSE Use Only)
NEW MEXICO OFFICE OF THE STATE ENGINEER
APPLICATION FOR EXTENSION OF TIME
IN WHICH TO PERFECT AN APPROPRIATION OF SURFACE WATERS
1. PERMITTEE
Name: _________________________________________
Work Phone: ____________
Contact: _________________________________________
Home Phone: ____________
Address: _________________________________________
_________________________________________
City: _________________________________________ State: __ Zip: __________
2. HEREBY APPLIES FOR AN EXTENSION OF TIME IN WHICH TO
____________________________________________________________________________
(complete the works, apply water to beneficial use)
3. REASON
The period of time is insufficient and additional time is requested for the
following reasons (state reasons in detail if desirable or necessary, submit
affidavits, photographs, etc., as evidence in support of statement:
The State Engineer is hereby requested to extend the time previously granted
by extending the limiting date to __________ (not to exceed three years).
mm/dd/year
__________________________Do Not Write Below This Line________________________
File Number: _______________
Trn Number: _______________
Form: wr-24
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