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pAgU 1�!. <br /> APPLICATION - MME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> '( <br /> paCrFORa`p FILE NUMBER: TE- A � <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: v; <br /> Address: <br /> Phone: Y,29 _576 <br /> Permit Information <br /> Permit Number(s): Date Approved: t� Vaj <br /> Approving Agency: Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: (p — 4/ — o (o Extension Requested on: — <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 /> d_' 11 E U/ICG�i� a GSD Ti+i�l.l ✓E¢ <br /> //`i Y4 45;'t, <br /> �-7/ <br /> /I T C/tF k iI <br /> C.c)G"d�x <br /> � art L.JI� h /lC oetel / a .f. V_ 7 <br /> / <br /> r <br /> Z;�4/ <br /> C C V <br /> F- <br /> r <br /> 7 <br /> How much additional time is being requested: �,c 4 <br /> NOTE: Time kxtensions can nted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: r' Date: — Q <br /> SIGNATURE <br /> File No: u Receipt No. GG <br /> Accepted by: Date: °b <br /> F:\DEVSVOPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />