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f f APPLICATION =�-tIME. EXTENSION <br /> X SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> f; <br /> FILE NUMBER: TEPA - 050018 <br /> TO TI:b 8Y tHE APPLICANT PRIOR Tbr1IiNG';7HE,ARRLIC,'ATION,, <br /> plica `t Inforinatioli <br /> Name: <br /> Address: 2 <br /> 5z- <br /> Phone: — f, <br /> PIt 1[�#0 <br /> rrna#Ion ' ti <br /> Permit Number(s): 0.5— <br /> /87 <br /> Date Approved. <br /> Approving Agency: B( Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 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 /> 7-he leqt,71- <br /> doe 4 <br /> G �G !�' C p v► ` e <br /> 224 LO�la' /41'1 O C� <br /> Of <br /> How much additional time is being requested: <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. j g <br /> Accepted by: =:�i Date: <br /> FADEVSVC1PIann1ng Applicalion Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />