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g4UIN APPLICATION - TIME EXTENSION <br /> :'J < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i;........::\P.. FILE NUMBER: TE- <br /> �/PORN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION J <br /> 1�' Applicant Information <br /> Name: HD r�Q� 'j �MGTrt ` <br /> Address: i er <br /> s ZO <br /> Phone: <br /> Permit Information <br /> Permit Number(s): PA — I 100 O Date Approved: <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: I — Z4 — 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 /> 'J 2. are Vel <-Dr(oW <br /> f6 <br /> 4?, �r 4'.Fi. G�4tA +v%+ .L� iR (_(?,(� /O-� I * rcl1� 'L <br /> S.>r_ �jlr1'�ii at7i/1 U ' • <br /> v � <br /> How much additional time is being requested: Tepf <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 6 years for subdivisions. <br /> SIGNATURE <br /> Signature: z5&4 JU Date: <br /> SIGNATURE <br /> File No: 6 Z Receipt No. `Qin? ZJS O <br /> Accepted by: / Date: � 'O <br /> MEVS=PIanming Application Formsl Page 2 of 2 <br /> Time ExtensionAm(Revised 9-30-15) <br />