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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED By THE APPUCANT PRIOR TO RUNG THE APPUCATtON <br /> 777, <br /> M APPLICANT INFORMATION' <br /> Name: <br /> Address: <br /> Phone: <br /> 7 <br /> PERMIT INFORMATION <br /> Permrt Numoerlsl: <br /> �/ Oate ADDroved: �{ <br /> ADoroving Agency: [,7.$ta1} ❑ Planning Commission ❑ Board of Suoervisom <br /> Exoiration Date: I9r I Extension RecueLved on: 4 <br /> i <br /> Give the reason for the request'or a time extension(include the circumstances;het^ave orevemed the oroiect from preceding an <br /> schedule: <br /> ARC _ <br /> �w <br /> i I <br /> I <br /> I <br /> i <br /> How much additional time is being requested: <br /> NOTE: Times Extensions can be granted for up to t year for develoomsm applications and up to 3 years for subdivisions <br /> Date: <br /> NLY <br /> IF;—",.No: it,f} I - - I Receict No. <br /> Accented by: -/Z"c C I Date: %/'-Z <br />