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APPLICATION — 7InlIE EXTENSION <br /> W: ' X SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ',. FILE NUMBER: TE- <br /> C <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> / / Applicant Information <br /> T 1 <br /> Name: / , (T <br /> Address: 62U <br /> Phone: <br /> Permit Information <br /> Permit Number(s): d Date Approved: <br /> Approving Agency: 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 /> N.� 't7lYYl • N W � ' rYf� <br /> NHowmuch <br /> dditional time is being requested: <br /> Extensions can be granted for up to 1 year for development applications and up to 6 years for subdivisions. <br /> SIGNATURE <br /> Date: — Sr <br /> SIGNATURE <br /> Receipt No. <br /> : Date: <br /> J1 <br /> F:\DEvsvmPianning Application Fonns\ Page 2 of 2 <br /> Time Ectension.dim(Revised 9-30-15) <br />