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� rAPPLICATION - fI <br /> ME EXTENSION <br /> 7q: / K <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> P FILE NUMBER: TE- R.® - n 3 n n n <br /> 4. 9 <br /> _l.{,. ETir"�` ir`�nr,Y� <br /> GQMT E4f1 � CL�7W: <br /> R�0 F,.IL1NCs§T ,APPLICA710N <br /> '.� st1� *,R.r, .'yy <br /> yy ' ��' �'m 5 [ <br /> k,..r.+ir ..S_ E� bf", <br /> - _ iHFu .WP:, rt aA',/.d:`a7�, T - 'x � � G,',..%P..• ,t'� .�.� �?':: X'` $ <br /> .Address: <br /> i <br /> ,r --- <br /> ;a, <br /> Permit Number(s). /�� �.- Date Approved. <br /> Approving Agency: Staff ❑ Plapr ing_Commission ❑ Board of Supervisors <br /> Expiration Date: Extension Requested on: <br /> Give the reason for the request for a time extension (include the'circurnstance's.that have prevented the project from preceding on <br /> schedule: <br /> 10h l <br /> i <br /> r <br /> i <br /> How much additional time is being requested: /^ <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. ! <br /> SIGNATURE t <br /> 1 <br /> Signature: de G,,rgl_d <br /> Date: <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> FADEVSMPlanning Application Forms\ Page 2 of 4 <br /> Time Extension.doc(Revised 6-11-03) <br />