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11 <br /> APPLICATION - IME EXTENSION <br /> y< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ., FILE NUMBER: TE- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Ap icant Information <br /> Name: <br /> Address: e17 y 7 Oil/J/ GAJ <br /> ��r 2JaRlZ��257-,;�) <br /> one: gelTBv <br /> Permit Information <br /> Permit Number(s): _ �s d� Date Approved: /Zi I Cj <br /> Approving Agency: ❑ Staff ['Planning Commission ❑ Board of Supervisors <br /> Expiration Date: /2 E p tz I Extension Requested on: // /p O <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 /> ell <br /> How much additional time is being requested: <br /> NOTE: Time Extensions can be granted for up to 1 ye for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signatur c C Date: <br /> SIGNATURE <br /> File No: �Ops � t�2 to d�o y � Receipt No.'Q� <br /> Accepted by: f Date: \ S <br /> F OEVSMPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />