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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> . a FILE NUMBER: TE- 1/0 O 0. - <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: V <br /> Address: <br /> O <br /> Phone: — 8 <br /> .qi- .Permit Information <br /> Permit Number(s): 7i / '— Date Approved: 3 'DI <br /> / <br /> Approving Agency: taff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 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 /> G y <br /> How much additional time is being requested: }�— <br /> NOTE: Time Extensions can be granted for up to 1 year or development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signatur - Date: , <br /> SIGNATURE <br /> File No: Pjg - Receipt No. L TV iS <br /> Accepted by: Date: Z <br /> FADEVSVMPlanning Application FOMM Page 2 of 2 <br /> Time Extension.doo(Revised 10-1"4) <br />