Laserfiche WebLink
APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING:THE APPLICATION <br /> APpocANT INFO,RMATION I' <br /> Name. _ - <br /> Address: �'JC7 r <br /> Phone: <br /> PERMIT INFORMATION rV' <br /> _ <br /> 'SAI •.Y. iR'• �q` .�.LL <br /> Permit Number(s): Date Approved: 16 /�M <br /> Approving Agency: ❑ Staff P�Iplanning Commission ❑ Board of Supervisors <br /> Expiration Date: — / 2- — IL D O I Extension Requested on: a. — 'L Q v U <br /> Give the reason for the request for a time extension(include the circumstances that have prevented the project from preceding on <br /> schedule: r <br /> o - <br /> i <br /> How much additional time is being requested: <br /> NOTE: Times Extensions can be granted for up to 1 ye r for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: 1 Date: <br /> STAFF USE ONLY <br /> File No: ,�if —a ci -5 Receipt No. <br /> Data: <br /> Accepted by: J , <br /> a—aB -ol <br /> U L/ <br /> -2- <br />