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POUtN APPLICATION ® TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE <br /> Q<<FOR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: �e A . Ce-,4,— Ta- <br /> Address: / G 2-0 r � Q N� � v C-A <br /> Phone: <br /> Permit Information <br /> Permit Number(s): F -.10 O O ( 9 Date Approved: /o Z 3o <br /> If <br /> Approving Agency: ❑ Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 5" t,Z I Extension Requested on: 3 <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 /> 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 pp <br /> File No: '�/�- L��C7�% I Receipt No.R Z2 3�/�/ (o <br /> Accepted by: 7 Date: 3/ 1 1 L Z <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30-15) <br />