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0.U'" APPLICATION -- TIME EXTENSION <br /> '- SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • �� FILE NUMBER: TE- <br /> a�FFo'�`' <br /> I <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> i <br /> Name: <br /> Address: <br /> Phone: ZG 7r'3 5- <br /> Permit Information <br /> Permit Number(s): Q Date Approved:, c <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors i <br /> Expiration Date: b 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 /> r <br /> How much additional time is being requested: Yeqe_._ <br /> 1 <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: Q <br /> SIGNATURE <br /> i <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> FIDEVSMPianning Application Formsl Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />