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U9 if APPLICATION - KME EXTENSION <br /> Q. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE- U <br /> �tFar� " <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: c L <br /> Address: C �, <br /> ate. <AS 3 <br /> Phone: <br /> Permit Information <br /> Permit Number(s): Date Approved: <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 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 /> ZKV � c <br /> How much additional time is being requested: <br /> NOTE: Time Extensions can be granted for up to 1 War for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: �,z c_ a Date: — —� <br /> SIGNATURE <br /> File No: " L � l7 3�y Receipt No. I'� � <br /> Accepted by: Date: <br /> S <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-1M4) <br />