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'�P4—�`c° APPLICATION - TIME EXTENSION <br /> H � y< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • cq.�- ,...fir• FILE NUMBER: TE--PA- Iowo7 k <br /> �/PORN / <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: A, <br /> I : <br /> Address: <br /> Phone: <br /> Permit Information <br /> Permit Number(s): PA .- k Q QL ft Date Approved: (O - <br /> Approving Agency: 2�'Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: — w k-7 I Extension Requested on: 4r;- --j0 -- ZZ" i <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 /> How much additional time is being requested: 'j <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: <br /> 1 SIGNATURE <br /> File No: -` 1 Receipt No. $52 3 <br /> Accepted by: Date:(O-3Q-ZG <br /> F:\DEMCOanning Application Forms\ Page 2 of 2 de lj6 3 <br /> Time Fxtension.doc(Revised 9-30-15) <br />