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APPLICATION - TIME EXTENSION <br /> < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE- —RX00 <br /> �{ <br /> Q��FOR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: v' e <br /> Address: 3y 3 -? U Se- live. <br /> 44 ac,L4- . LPr 752-05 <br /> Phone: ( Z 01 y 9 7 <br /> Permit Information <br /> Permit Number(s): � 7 Q Date Approved: ( <br /> Approving Agency: N( <br /> Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: s f/ Extension Requested on: 3 �/ <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 /> pr-ope AC 1 � O t 1 <br /> How much additional time is being requested: ear <br /> NOTE: Time Extensions can bex <br /> 6ked for up to 1 year for development applications and up to 6 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: 3 - IF— <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> F:\DEVSMPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 9-30-15) <br />