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°p4-u''lN`L APPLICATION - TIME EXTENSION <br /> a SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE- 7 )A—bSQ�j46' C <br /> 9�)F ORS <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: EL <br /> Address: <br /> `J <br /> Phone: l/p j <br /> Permit Information <br /> Permit Number(s): took- n5G0A4(0'7 Date Approved: <br /> Approving Agency: ❑ Staff [a'Planning Commission ❑ Board of Supervisors <br /> Expiration Date: S /;Z Extension Requested on: �LIIZ Ll(p <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 /> e © r aA <br /> e 0I e <br /> C- <br /> y <br /> C' <br /> tt Q i ' <br /> — <br /> t <br /> t <br /> How much additional time is being requested: ( 5 o J 2 e A%r S :vlO <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 6 years for subdivisions. <br /> SI TU <br /> Signature: Date: <br /> SIGN TURE <br /> File No: A, ) Receipt No. ,t-1 <br /> r <br /> Accepted by: Date: 1 i j'?i 11 D <br /> F:\DEVSVOPlanning Application Forms\ Page 2 of 2 <br /> Time Fxtension.doc(Revised 10-19-04) <br />