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°P4�lN. APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> •• :'P' FILE NUMBER: TE- 16 Oyl T/PORN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: (nv\ U OAAt <br /> Address: Z 2 7-V .E { o w <br /> Phone: 2,001, <br /> Permit Information <br /> Permit Number(s): Date Approved: <br /> Approving Agency: ❑ Staff E3—Plenning Commission ❑ Board of Supervisors <br /> Expiration Date: 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 /> 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 6 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: - Z <br /> SIGNATURE <br /> File No: ( Receipt No. , L) <br /> Accepted by: Date: <br /> F:IDEVsYMPlanning Application Forms\ Page 2 of 2 <br /> Time Exlension.doc(Revised 9-30-15) <br />