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p4U(� APPLICATION - TIME EXTENSION <br /> N: < <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c., r FILE NUMBER: TE- A 7 <br /> '9Cl F oaf'• <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: I <br /> Address: Z <br /> Phone: ..�%�" — "�• r <br /> Permit Information <br /> Permit Number(s): Dale Approved: 2 -16-6`S ^ <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: - Z 2 67 Extension Requested on: S' Zz 6 <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 /> /—S- <br /> How <br /> SHow 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 /> Sign r Date: �/- <br /> SIGNATURE <br /> File No: Receipt No <br /> Accepled by: Date: Q <br /> F:\DEVSVC\Planning Application Fonns\ Page 2 of 2 <br /> Time Extension doc(Revised 10-1 M4) <br />