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6 <br /> APPLICATION TIME EXTENSION <br /> fir• ,_ a <br /> M, SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 170 <br /> FILE NUMBER: TE_ � 0 0 <br /> �Lx <br /> 51 <br /> I <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name. ; r <br /> Address: ^' , r <br /> Phone: I„1-� " <br /> Permit Information <br /> Permit Number(s) — ) ? "� Date Approved: T L LV L3 , <br /> Approving Agency: X Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: j "�7,�'�p Extension Requested on: r0- ^ '21 �o{9 <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 /> 7 r <br /> _ 1 <br /> r. <br /> How much additional time is being requested: �� y <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 6 years for subdivisions <br /> SIGNATURE <br /> Signature: t Date: <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted by: <br /> Date: <br /> F:\JEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time ExienrionAcc(Revised 9-30-15) <br />