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->, APPLICATION - TIME EXTENSION <br /> DEVELOPMENT DEPARTMENT SAN JOAQUIN COUNTY COMMUNITY DEVELO <br /> p qq nnnn <br /> !+ FILE NUMBER: TE- PA 1 � 0 00M 7 � <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> Address: WW01,12ff'll DR.- <br /> /72 <br /> Phone: <br /> Permit Information <br /> Permit Number(s): Let — V CL) 0 Date Approved: 3lZ'7 I <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: Extension Requested on: Z 41 <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_ o4z - glad <br /> 12) ,4 <br /> Z— t ,�< r <br /> L -� / <br /> LHow7much is beingcan be granted for., to 1 year for development applications and up to 6 years for subdivisions. <br /> SIGNATURE <br /> Signature: c.L, ( / Date: <br /> ( SIGNATURE <br /> File No: ,�J�I' / .3CC'�qC /),).S Receipt No. <br /> Accepted by: 22 b L1. I. ,Z( Date: <br /> I <br /> V <br /> FiDEVSVC\Plenning Application Fotms\ Page 2 of 2 <br /> Time E#ension.eoe(Revised 9-30-15) <br />