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APPLICATION - f IME EXTENSION <br /> y' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • c � P FILE NUMBER: TE- Q ,A © 03 000 <br /> 9 9I <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> —-- —-- Applicant Information <br /> Name: i / ; G <br /> Address: (� Y <br /> J7-�f2 <br /> Phone: q <br /> Permit Information <br /> Permit Number(s): — 0 Date Approved: <br /> Approving Agency: &6 Staff E] Planning Commission El Board of Supervisors <br /> Expiration Date: 10-30-04 Extension Requested on: CP 2 0 <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 /> 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. <br /> Accepted by: Date: <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 4 <br /> Time Extension.doc(Revised 6-11-03) <br />