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°P `° APPLICATION - TIME EXTENSION <br /> y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �'• FILE NUMBER: TE-� 'U k0oo <br /> �JFO AY\ <br /> T k Sig COMPLETED BY THE APPLICANT PRIOR TO`FILING THE APPLICATIt3N <br /> Name: , .,MKT M OA °,A_o,(I' d� <br /> Phone: C) —b <br /> Permit Information <br /> Permit Number(s): — Q 0/ <br /> ,, ,� � ✓ ,7 U a b Date Approved. <br /> Approving Agency: t!Q Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: — L — Z00 Extension Requested on: ID 11`11 Q <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 /> f et- <br /> � c�c <br /> How much additional time is being requested: V <br /> NOTE: Time Extensions can be granted for up to 1 year for development applicati p ns and up to 5 years for sub ivisions. <br /> SIGNATUR <br /> Sign Date: U <br /> SIGNATURE <br /> File No: 11 0 Receipt No. <br /> Accepted by: Date: j K Q <br /> F\DEVSVOPIanning Application Forms\ Page 2 of 2 <br /> Time Extensiondoc(Revised 10-1"4) <br />