Laserfiche WebLink
APPLICATION - -f IME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .. 4 FILENUMBER: TE- <br /> ��FORH <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: ,S k <br /> Address: bL& <br /> Phone: <br /> Permit Information <br /> Permit Number(s): A D D O 3 9 Date Approved: <br /> Approving Agency: a Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 2/9 6/0� Extension Requested on: 312 b <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 /> *L37, Ye <br /> How much additional time is being requested: A iyvt <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Extension doc(Revised 10-1M4) <br />