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rzaP4�r. cc <br /> APPLICATION - TIME EXTENSION <br /> w < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �.�dCrFo'n`��P'• FILE NUMBER: TE- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> Address: v <br /> Phone: <br /> Permit Information <br /> Permit Number(s): /;�j • fly a 17 L-%") Date Approved: <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date:y- 23_-IV Yu I Extension Requested on: <br /> Give the reason for the request for a time extension (include the circumstances that have prevented the project from preceding on <br /> sch dule: <br /> IS <br /> �U <br /> How much additional time is being requested: se <br /> NOTE: Time Extensions can be granted for up to 1 year r development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signatur Date: `✓ <br /> SIGNATURE <br /> File No: Receipt No. a 14 Ql V <br /> Accepted by: Date: <br /> F TEVSMPlanning Application Fonnsl Page 2 of 2 <br /> Time Ddension.doc(Revised 10-19-04) <br />