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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> , TI3�COA�IPLEEDg'BY�H� APLIGANTPRIGp T <br /> Vw <br /> ?HE APPLICATIQN . : ,•,, - .r; r 7 <br /> NT i4PPLlGAI yF�RMATIOII �, s <br /> 4...°- „en �� <br /> Name:(�bet 2, LeJ S' <br /> Address: C 12 <br /> Phone: <br /> PERMI�lNf� RMA ; M � � <br /> 1■1�� <br /> Permit Number(s): Date Approved: <br /> Approving Agency: ❑ Staff ❑ Planning Commission O Board of Supervisors <br /> Expiration Date: 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 /> h-ka Az <br /> r <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 /> 6 SIGNATURE <br /> Signature: Date: <br /> STAFF°USE ONLY 15P�4& '4k <br /> File No: —� Receipt No. <br /> Accepted by. Date: `p <br /> -2- <br />