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°Pa•`•'A^!, APPLICATION _ AIME EXTENSION <br /> 'eJE1.c0G <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> - <br /> �qP FILE NUMBER: TE- taco& <br /> D <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> r <br /> Name: �/ui'I O�h'1 �'?I•'1 - <br /> Address: <br /> Phone: <br /> Permit Information <br /> Permit Number(s): qV C) S Date Approved: <br /> Approving Agency: ❑ Staff NtPlanning Commission ❑ Board of Supervisors <br /> Expiration Date: ovg 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 /> tg <br /> r<' / �'. f��< /C r#��� 17,-,,- eexe <br /> How much additional time is being requested: ( ' e-,-(,- <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 6 years for subdivisions. <br /> 1-3 SIGNATURE <br /> Signature: 14 Date: <br /> SIGNATURE <br /> File No: a – A-5 Receipt No. <br /> Accepted by: Date: <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30-15) <br />