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APPLICATION -AIME EXTENSION <br /> < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c! FILE NUMBER: TE-Q� j <br /> �rFOR <br /> ' - PO Bi C jVIPLETED BY THE APPLICANT PRIOR TO FILING THE'APPLICATION <br /> Applicant Information <br /> Name: <br /> Address: <br /> Phone: , -:DOC) <br /> ( p <br /> Permit Number(s): Q Date Approved: <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 2 — I 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 /> QjhkL <br /> � v <br /> v , <br /> P <br /> How much additional time is being requested: <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 /> Signat Date: ,�- 6 Z"Q <br /> SIGNATURE <br /> File No: L Receipt No. <br /> Accepted by: Date: (�•'2 " <br /> FIDEVSVCnanning Application Forms\ Page 2 of 2 <br /> Time Edensim.doc(Revised 10-10-04) <br />