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4ly. <br /> APPLICATION -rIME EXTENSION <br /> ti <br /> r .Z <br /> ` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �4..,. FILE NUMBER: TE- P JIJ 1 p tJ <br /> �1F0_RN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: S <br /> Address: Or C3 C;',Z / <br /> Phone: 7 2 7 _ Z? <br /> Permit Information <br /> Permit Number(s): — �9'0 Date Approved: '� a <br /> Approving Agencyn taff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: a L rQ 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 /> 114 <br /> How much additional time is being requested: i <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 /> k. SIGNATURE <br /> File No: f'n (]? 7 �� Receipt No. 2 ( 1 <br /> i <br /> Accepted by: V Date: 111 <br /> RUEVSVDRanning Application Forms\ Page 2 of 2 <br /> Time EdensionAm(Revised 10-19-04) . <br />