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5, <br /> APPLICATION - WE EXTENSION <br /> X SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE- <br /> L <br /> i <br /> Tb BE CaDMPi,ETED BY THE APPLICANT.PRIOR T�;FlL1NG'tHE ARPICATION <br /> i <br /> Ap IiC�nt farriatlon <br /> 1 <br /> Name: <br /> Address: <br /> Phone: <br /> Prt>7it Information <br /> Permit Number(s): Date Approved. <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 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 /> 7me c®� <br /> How much additional time is being requested: <br /> NOTE: Time Extensions can be granted for up to 9 year for dev opment applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: <br /> Date: <br /> SIGNATURE <br /> File No: Receipt No. 04,55 <br /> Accepted by: <br /> Date: ?�� Dta <br /> FADEMM121anning Application Formal Page 2 of 2 <br /> Time Extenslon.doc(Revised 10-19-04) <br />