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°"R�`" APPLICATION - (IME EXTENSION <br /> 1•�/ A� <br /> r.' <br /> w`•' ' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �.�'.. .p.� FILE NUMBER: TE- <br /> (I'F'blt� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: n/ (� <br /> Address: J`-I L/5� - _ <br /> fOSe Cl � 3 <br /> Phone: —270 97 <br /> Permit Information <br /> Permit Number(s): — Q 30 0 3 z 3 1 Date Approved: <br /> Approving Agency: NL Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 2 ZZOZZOaS Extension Requested on: O S <br /> Give the reason for the request for a time extension(ir�1�]Jude the circumstances that have pr vented the project from preceding on <br /> schedule: 1 &P7b Zt), Eros KP4&G 7'hw 9 <br /> f <br /> l F od e"P" L M;- <br /> 7- !N _O r_ L <br /> Y e- <br /> e <br /> How much additional time is being requested: <br /> NOTE: Time Exte Bions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: <br /> SIGNATURE <br /> File No: 07j p os-L j Receipt No. <br /> Accepted by: S % hf L L�Lj Date: <br /> FADEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Edension.doc(Revised 10-19-04) <br />