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APPLICATION --fIME EXTENSION <br /> X SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �4'. - . ..•Cp''• <br /> �Iddat' FILE NUMBER: TE- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> Address: <br /> Permit Information <br /> Permit Number(s): PA 03 000$'Z Date Approved: - ) / - 03 <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: / - 2- 9 -5) s- 1 Extension Requested on: _ / g' . oS' <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 /> How much additional time is being requested: e Y <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: Date: / <br /> SIGNATURE <br /> File No: 4- ) 3 W S Z Receipt No. 2 O`I <br /> Accepted by: Date: <br /> F:\DEVSVOPlanning Application Forms\ Page 2 of 2 <br /> Time E#ension.doc(Revised 10-10-04) <br />