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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> •. q�....: NSP FILE NUMBER: TE- JA - 63ouD`1S <br /> c R <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: s <br /> Address: 7 - <br /> �o Ga z 2 <br /> Phone: 23 f?v <br /> Permit Information <br /> Permit Number(s): Date Approved: L- J-�' <br /> Approving Agency: Staff El Planning Commission ❑ Board of Supervisors <br /> Expiration Date: U n u Extension Requested on: S c. <br /> Give the reason for the request for a time extension(include the circumstances that have prevented the project from preceding on <br /> schedule: RA .Q 3glod <br /> Zkr o <br /> O w <br /> oa 6 v <br /> Lrc i <br /> E <br /> o ZAv <br /> How much additional time is being requested: <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: Q, Date: ^ZOo <br /> -� SIGNATURE <br /> File NoReceipt No. 101 Oip( <br /> Accepted by. Date: Jk- <br /> F 0EVSVc\P1.mmm9 Appkarioo Forms; Page 2 of 2 <br /> Time Extension.doo(Revised 10.19-04) <br />