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•p.....U�k APPLICATION - TIME EXTENSION <br /> N 1 < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • c.., :..�P FILE NUMBER: TE- 1% 1700196 <br /> Q��FORN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information . <br /> Name: Ail )I C) <br /> Address: v <br /> P� CA <br /> Phone: z16 7 3 <br /> Permit Information <br /> Permit Number(s): Date Approved: Q <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: H C) Extension Requested on: ( 3( 2-0---Q <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 /> GL S r e S erq n cdY� /' P0,r/'csz <br /> �_ ��h/ 1-f��`t� � S 1 Ecce r �.s r� •��r� � �(s <br /> How much additional time is being requested: <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: Date: <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> F:\DEVSMPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30-15) <br />