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AQUIMAPPLICATION �- TIME EXTENSION <br /> �q. C, <br /> t�' < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> . c ' :P • FILE NUMBER: TE / -1-7coc") L1 7 <br /> QC'JFot�� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> 66 T 5 Zo <br /> Address: S <br /> Phone: 2 — - �jT� � '�- 6 2 ,e)11,7"!�- <br /> Permit Information <br /> Permit Number(s): 1 Date Approved: <br /> Approving Agency: ❑ Staff ZLplanning Commission ❑ Board of Supervisors <br /> Expiration Date: 0s, 2 Extension Requested on: c->3 <br /> Give the reason for the request f r a time extension(include the circumstances that have prevented the project from preceding on <br /> schedule: <br /> i <br /> How much additional time is being requested: 4&L <br /> NOTE: Time Extensions can be granted for up to 9 year for development applications and up to 6 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: ` <br /> SIGNATURE l <br /> File ' ;!�— ( �{�(> 3 Receipt No. <br /> Acce l d by: Date: <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30-15) <br />