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�p4UtN APPLICATION - 4 IME EXTENSION <br /> y < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE- 1 ' i ou o <br /> - TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> Address: <br /> Phone: — <br /> Permit Information <br /> Permit Number(s): P.4 — �� (� 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 /> e / C e <br /> om <br /> t <br /> How much additional time is being requested: V <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 /> Signature: Date: <br /> SIGNATURE <br /> FFleNo0lReceipt No.ccepted by: Date: to <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />