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APPLICATION - WME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> n \ <br /> •.�`,q..,._ , , FILE NUMBER: TE- P4 - O 5030 'C`t <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: "s` <br /> Address: I �7 I ' ToC �v, }Z Q <br /> 1oc m Gam. of h2z,::; <br /> Phone: -2 C:2- 13 <br /> Permit Information <br /> Permit Number(s): -2 DO "3 ®60 Date Approved: Z Z OS <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: Extension Requested on: iI 2 O-7 <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 /> �v� 1d \� L ..•m ,—}- IS 1 � 1R � C �2Gcic. <br /> � c1 c( cla - ;D V- SJco bb , 1 � <br /> How much additional time is being requested: <br /> NOTE: Time Exten 'ons can be granted for up to 1 year for development applicatio up to 5 years for subdivisions. <br /> n ✓rte SIGNATURE <br /> Signature: Date: YJ d <br /> SIGNATURE <br /> File N0: Receipt No. <br /> Accepted by: Cut L Date: 47 U <br /> F:\DEVSVC\P1arming Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />