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- AVVLiL;H i 1UN - I irnt t,& i CNbiuN <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1_ FILE NUMBER. T-E- J U <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: ewAc b&A- " <br /> Address: F. c) . <br /> sf n <br /> Phone: (� <br /> Permit Information <br /> Permit Number(s): PA-— I7 Q b 1 20 Date Approved:9— —t <br /> oo <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: ZO-2-0 Extension Requested on: --2-0 1-2-0 20 <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 /> K-6i­ re-Ce-i vf, OU-r 12 <br /> "S UAtAi I M;OU TAL <br /> Pet Mber ken w?e w-e n+- tkb rKi o1 kr s eFh✓i rowwdy <br /> a l c. a -e P.J <br /> 'ca Y- , 01,- 6e0+zb-yN o c�.. <br /> 14-00tam. r -}-vvo vri <br /> v <br /> W-2 T "V i <br /> C5 <br /> �- 1� <br /> _ q <br /> D S s-e, all_<Jar <br /> nil r s-I- <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: 2-Z <br /> SIGNATURE nn <br /> E <br /> 0 , � �� Receipt No. lL Z �' 7 7 <br /> d by: Date. <br /> G\ncvwMPia nines nn„r—r„n P„rmcl Pana? of 9 <br />