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APPLICATION - TIME EXTENSION <br /> v � SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE--"06000 38 <br /> GiFo'N <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: iairL(„'J (� <br /> Address: Z. Ln e_ <br /> STD-Ct f-A '15701 <br /> Phone: ;WI-95-7- 3031 <br /> Permit Information <br /> Permit Number(s): Q - 060o 3 3e, Date Approved: 41 lafl 7 oc; 6 <br /> Approving Agency: ZStaff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 41Z.-S111, I Extension Requested on: qW 16 <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 /> c L <br /> e- +W We ( G of it <br /> s4. tan e_ r e c , <br /> N e- N t i 1 <br /> We <br /> t Wilk i _h T A 1 1 <br /> e Ui <br /> @ S , <br /> How much additional time is being requested: N <br /> NOTE: Time Extensions can be aore-0 for up to 1 year for development applications and up to 6 years for subdivisions. <br /> a I SIGNATURE <br /> Signature:' vc e A 6L0 Date: 3 120ht, <br /> SIGNATURE <br /> File No:1pf)- woo?b (MS) Receipt No. r—( -7 7�5� <br /> Accepted by: L'k. Date: 0d <br /> FIDEVSVMPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30-15) <br />