Laserfiche WebLink
I.- <br /> APPLICATION — TIME EXTENSION <br /> L' <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENTS DEPARTMENT <br /> FILE NUMBER: TE- i 1 b U u u b u <br /> CIF•••. <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: 6MoLKTvAl PkA5 uK ?i2Eib g'f iE2iA'N C HIa(LL <br /> Address: 1} 5, aLP 'N- N%GtC ROA-1.> <br /> SToLu.�'oN LPc 11'7.. <br /> Phone: ZOq - 9.5 - Cl I'l t <br /> Permit Information <br /> Permit Number(s): Date Approved: <br /> Approving Agency: ❑ Staff ❑ Planning 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 /> 1] etb'Im nmc% �ooF �T�Lt LTU 4LF o J( L <br /> 1til W-�c i E Lt2 CA <br /> How much additional time is being requested: "6 3 GL>- <br /> NOTE: Time Extensions can beg t4d for up to 1 year for development applications and up to 6 years for su divisions. <br /> SIGNATURE <br /> Signature: liOppl— Date: <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> FMEVSVCTIanning Appfcation Fonns\ Page 2 of 2 <br /> Time Exlension.cim(Revised 9-3615) <br />