Laserfiche WebLink
APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE-24 - /3002/S (bp# > <br /> ��FORN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> Address: 6 \ A 01 s-?s ' _ CA 4-c <br /> Phone: <br /> Permit Information <br /> Permit Number(s): - 13001,k Date Approved: Z tP ' Z C) <br /> Approving Agency: ❑ Staff W Planning Commission ❑ Board of Supervisors <br /> Expiration Date: VID -2-ock 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 /> schedule: <br /> 11 �t L rod v` '( rc c. <br /> a cc : G we_. w r <br /> C,VA , e Lk LA�CX-,.t <br /> How much additional time is being requested: e,,c <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 6 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: -) z 460 <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted b G/Z_9/Z,0f <br /> P Y� �L , 7 Date: <br /> FADEVSVCTIanning Application Fortes\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30.15) <br />