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°Pa�tN. APPLICATION — TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • �•.—�-.•'P FILE NUMBER: TE- /�,000 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: 4A Jr..nl <br /> Address: v <br /> t c. . S' Z <br /> Phone: U 3- S <br /> Permit Information <br /> Permit Number(s): O 5 6 Date Approved: <br /> Approving Agency: 2[ Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: d Z C� Z 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 /> ^ L' <br /> G (i �L Gt� L `�.0 C CC.�.7c'V�` v• I d,—) ('�•;,.cr- ...^ <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 /> Signatu,re:r-7 Date: U Z <br /> SIGNATURE <br /> File No: L)l�() S Receipt No. <br /> Accepted by: Date: Z <br /> FADEVSMPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30-15) <br />