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APPLICATION — TIME EXTENSION <br /> a < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: TE- eg A) w o a a <br /> —.. <br /> BE COMPLETED BY THE APPLICANT PRIOR TO FILING.THE APPLICATI <br /> a ' � Applicant Information <br /> Name: C- C> <br /> Address: --;tS ty13 ( CY2— fir (/ <br /> it< & ?�2 <br /> Permit Number(s): I Date Approved: <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: \ O I ( Lf u :? I Extension Requested on: I J I 14 01� <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: a� Date: to /ty,-ems <br /> SIGNATURE <br /> File No: - _. Ql7la Receipt No. <br /> Accepted by: Date: ,0 <br /> F:\DEVSVC\Planntng Application Forms\ Page 2 of 2 <br /> Time EMensim.dac(Revised 10-19-04) <br />