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APPLICATION - TIME EXTENSION <br /> r 2 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE- <br /> °4CiF...R'�P <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: I T 1 I?� � 11 <br /> Address: 1E1 7GC K T <br /> A 9, 3 - SO1A <br /> Phone: A © 9 — LIU - 6706 <br /> Permit Information <br /> Permit Number(s): 3 6l0 Date Approved: <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: — f 7— 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 /> 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 6 years for subdivisions. <br /> SIGNATURE / 2 <br /> Signature: Date: <br /> SIGNATURE <br /> File No: ' — U Receipt No. <br /> Accepted by: Date: .S(:/3 /l t <br /> F:IDEVSMPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30-15) <br />