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APPLICATION - TIME EXTENSION <br /> a SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> !.ta�is1; 4? tfOjBECOIIdPLTED81!7HEAPPLIGIUYTrPR1QRTOffUIIGYTI� APP1! 110NMs � <br /> y .s{; ,t;55��i`+y;d•`w ���.-;°;�`�e�'�y,�APPLICANTlNFORMATION„r,j��fhf�"�z� �s7xrt�J+'t)tt r*��s;;�.' 'c'�`�c,�- ', <br /> Name: <br /> Address.• <br /> T . 6 $ ,4Li <br /> phone: <br /> 1 i -� <br /> „_ y , S`t', ,,;•... �r ,,'tPERMIT�NI"ORMATlON� F Vii' r C' 4�,a�(y� I& u:( ``-r.,;'i,'} :1y <br /> A�:lNY.:• I.-.Ci.•PS'X^!,S'S4 H::">,�t�7,S,,[7 i3f Gk <br /> I <br /> Permit Number(s): Date Approved., <br /> Approving Agoncy: k Staff O Plannhmg Commisskn O Board of Supervisors <br /> Expiration Date: _ Extension Requested on: <br /> 5 i <br /> Give the reason for the request for a time extension(include the chcumstances that have prevented the protect ham preceding an # <br /> schedule: <br /> �Gm <br /> I <br /> M <br /> Now much additional time Is being requested: -5- 1, <br /> NOTE: Tunes Extensions can be granted for up fo f year for development applicalions and up to 5 years for subdivisions, <br /> C '1 ; <br /> S(GNATURI~ <br /> Signature Date: - <br /> • <br /> File No: Recelpt No. <br /> Accepted by. Date: i <br />