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w 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 /> Name.' lJC( Gs��LS <br /> Address: &4 <br /> Phone: 2C1'l �� r '!�✓b <br /> PERMIT INFORMATION <br /> Date Approved.' �t)jl, C <br /> Permit Number(s): <br /> or <br /> Approving Agency: af/ ❑ Planning Commission ❑ Board o/SupervisC / <br /> Extension Requested on.' ✓�n i � � <br /> Expiration Date: <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 /> � c <br /> ---------------------- <br /> 0 <br /> C� <br /> How much additional time is being requested: <br /> / <br /> NOTE. Times Extensions can be granted for up to 1 year for development ap lications and up to 5 years o subdivisions. <br /> SIGNATURE <br /> Date' <br /> Signature: ( <br /> STAFF USE ONLY <br /> Receipt No. Q 5 1-) -70 <br /> File No: / <br /> Date: <br /> Accepted by: <br />