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APPLICATION - TIME EXTENSION <br /> .G <br /> y y< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • •. FILE NUMBER: TE- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: Y1 O COBS S E' <br /> Address: <br /> C- <br /> 7 0-) <br /> Permit Information <br /> Permit Number(s): Date Approved: <br /> Approving Agency: Staff, ❑ Planning Commission ❑ Board of S pervi ors <br /> Expiration Date: Z Z\ ptp Extension Requested on: <br /> Give the reason for the request for a time extension (include the circumstances that have prevented e 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 Cf <br /> Signature: ] _ Date: <br /> SIGNATURE , <br /> File No: U Receipt No. }\� <br /> Accepted by: o Date: <br /> c <br /> FIDEVSMPlanning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />