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APPLICATION - TIME EXTENSION <br /> h . SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE- PA1 7 O 0 0 5 1 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> Address: <br /> Phone: 11 " <br /> Permit Information <br /> Permit Number(s) - 17otio date Approved: I'Lt <br /> Approving Agency: X Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 1 - 15--2101-0 Extension Requested on: to - Z 8 - iii,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 /> i')Err <br /> r '7 �. <br /> ilV L c l <br /> r e 144 <br /> How much additional time is being requested 1? t <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: y Date: <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted by: Date <br /> F:\JEVSMPlanning Application Forms\ Page 2 of 2 <br /> Time ExtensionAcc(Revised 9-30-15) <br />