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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> APPLICANT INFORMATION <br /> NameKh'Pa� e <br /> -sem. <br /> Address: O L/,e <br /> Phone: -7 ( 2y 1 <br /> PERMIT INFORMATION <br /> Permit Number(s): 10 - 0 0001,6 I Date Approved: 7-,2,,7 G <br /> Approving Agency: Stall ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: \ ' 3 1 Extension Requested on: o- 10- 03 <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: Times Extensions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signaturelh2z L, C �,,.�� Date: <br /> STAFF USE ONLY <br /> File No: Receipt No. <br /> Accepted by: Date: <br />