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-SA - 01 - oos5 <br /> 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: <br /> Address: S <br /> Phone: — Q �2 6 ? — S 2— <br /> PERMIT INFORMATION <br /> Permit Number(s): Q Date Approved: <br /> Approving Agency: 11-9a% ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: —/G --6 Extension Requested on: — �G <br /> Give the reason r fh request/ore time extension(in de the cirF stances that have prevented the project from preceding on <br /> schedule: <br /> How much additional time is being requested: <br /> NOTE: Times Extensions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature. 7 ;�.., �,.� Dote: <br /> STAFF USE ONLY <br /> File No: DI _ �,5� Receipt No. <br /> Accepted by: J—� ' R f Date: <br /> -2- <br />