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°p4!!I,N• APPLICATION - fIME EXTENSION <br /> y; '< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • c�.. ;P.. FILE NUMBER. TE- <br /> 4��FOR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: ktj <br /> Address: (!V <br /> c� C -2A <br /> Phone: ?i� -V- 4 4-(p <br /> Permit Information <br /> Permit Number(s): - Scc� 5Q2- Date Approved: �r <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: b Extension Requested on: I U <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 /> i SS cT 4o-= <br /> C - ( `-w tJ61 <br /> I C, <br /> p <br /> t U s ✓v1 <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: A,. �p A •L P1,JQ Date: 1 0 <br /> SIGNATURE <br /> FA <br /> No43 '"� 1 j �L yr-7) _ D3 D0 `� Receipt No. ' L Oeped by:t - Date: y ti <br /> F:\DEVSMPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />