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APPLICATION - TIME EXTENSION <br /> i< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE-74 - 0 9, 0 1 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: at <br /> Address: ,Q. py, ll <br /> lo)t CA X241 <br /> Phone: �- <br /> Permit Information <br /> -Permit Number(s): Lk - cOCw Date Approved: 2 l p <br /> Approving Agency: ❑ Staff Planning Commission ElBoard of Supervisors <br /> Expiration Date: j( - J� Extension Requested on: L f�( 1 Z <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 /> PoJ tWA1JS1C*J,. <br /> How much additional time is being requested: 4 <br /> NOTE: Time Extens ns can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> I - - SIGNATURE. <br /> Signature 1 Date: -(2- <br /> ,/� SIGNATURE <br /> File No: i" Receipt No.21 S (7 Z Y <br /> Accepted by: Date: t-4 1 L <br /> F:WEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Exdension.doc(Revised 10-19-04) <br />