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° APPLICATION -IME EXTENSION <br /> 2, n .G <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • cq<iFoai+�P FILE NUMBER: TE- PA,L-Loo <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: �� /I,uD /Z_ , <<✓,CJ%S /� T/� %� <br /> Address: <br /> Phone: 20 7 <br /> Permit Information <br /> Permit Number(s): 124_ 02-4006 3 z Date Approved: �— <br /> Approving Agency: ❑ Staff ❑ Planning Commission ❑ Board of Supervi ors <br /> Expiration Date: 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 /> T IAJ �i <br /> S <br /> ch additional time is being req sted:Time Extensions can be gr ted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: —,/,fk_p <br /> SIGNATURE <br /> File No: Receipt No. 6 �1 <br /> Accepted by: Date: <br /> fit <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 4 <br /> Time Extension.doc(Revised 6-11-03) <br />