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°t4�1n APPLICATION — TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE-/Yp <br /> O BES; IfAPLETEDY E`er LtCsl�j �MANR,TO FILING TF1E gP�PL�CATI'O £ <br /> Name: " EE _ <br /> Address: <br /> Phone: ?� _ <br /> Permit Number(s): Date Approved: \� . <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: \ Extension Requested on: a <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 /> t;4A4 Vc2oJ vAJS <br /> lSTV <br /> How 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 /> Signature_ Date: O 2!7 2 <br /> SIGNATURE <br /> File No: 7W LPReceipt No.,-�-H _ <br /> Accepte k. . <br /> F:\DEVSVOPlannirg Application Forms\ Page 2 of 2 <br /> Time E tension.doc(Revised 10-19-04) <br />