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APPLICATION - TIME EXTENSION <br /> L� <br /> y< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> a FILE NUMBER: TE- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> [Jame: ph e el Pi <br /> Address: Z7,1 W loqak 9 Z <br /> Phone: <br /> Permit Information <br /> Permit Number(s): T74 Date Approved: w'p 4 <br /> Approving Agency: X Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 2 — 5 — O 4 1 Extension Requested on: /z — Z — o4 <br /> Give the reason for the request for a time extension (include the circumstances that have prevented the project from preceding on <br /> schedule: 4 It <br /> o r / <br /> How much additional time is being requested: one ,�- <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 /> l , SIGNATURE <br /> File No: (� 0 5 �G v, Receipt No. <br /> Accepted by: ' Date: <br /> FADEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Timn FAP—inn rir IP—i—1 1n_10-nA\ <br />