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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> APPLICANT INFORMATION <br /> Nem ,f3,</ So e e/O <br /> Add,...: 2 797 1/ fr�•vi�is e 'D <br /> Aew,v o 9.S�a0 <br /> JZ' <br /> PERMIT INFORMATION' 'Z.. <br /> Permit Num ��'y��J(. Dale Approved:/' a/� �dl yL� <br /> Approving Ag.—y: /❑LStaff Planning Commission ❑Board of SupeMs— ^ / <br /> E.pirellon Del-: C�P,(: 1-5',lqgl Extension Requested on: <br /> ON.the reason f«the request for a time extension Include the circumstances that hew pravenled the project from peceding on <br /> schedule: <br /> AN/ <br /> Ho..much add'ilbnei Ilene Is being requested: <br /> NOTE: Tlmoa Extenalons can be grenled for up to I year for d—toomenl applkellona eM up Ip]yeua for rubdNl.l—.. <br /> SIGNATURE <br /> SlgneNra: ,f-'�—��r+� Dale: IZ''IC-"7 <br /> _ STAFF USE-ONLY <br /> TE.1:2- ReceiptNo. eZO f <br /> Accepted by: L. Data: /O_1 7.Q/ <br /> 2- � <br />