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APPLICATION TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TD FILING THE APPbCATION ' <br /> APPLICANT INFORMATION <br /> Name' Ire I i <br /> Address: /Lp 2 O L <br /> Phone' 2 G`E - 7 5 `) - '�2 d 1 <br /> PERMIT INFORMATION <br /> Permit Number(s): Date Approved.• y(1 3 z o a <br /> AppruvingAgency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date. f Z ^ Z Of <br /> 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 /> schedule: <br /> lr)e'C+, YDS S I O+ti <br /> O i 1111—, <br /> Ic I r-,e,0 LAJejC,— d a-v. v%ec .cIlme Sewer, <br /> e z 1E� <br /> Naw much additional time is being requested. <br /> NOTE. Times Extensions can be granted for up to f year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: L r�__�' Date: <br /> STAFF USE ONLY <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> -2- <br />