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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 /> Name: <br /> Address: c.I t�� I �J !J /^A'7 �i 3 L Z: <br /> Phone: 7 - I t c� -7, <br /> u» PERMIT INFORMATION <br /> Permit Number(s).' yl.�l Date P.ppro✓ed: <br /> Approving Agency., r staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: �� - c� -- �' Extension Requested on: � <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 /> 4,1 <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 /> Datc <br /> r— STAFF USE ONLY <br /> Date: <br /> I ' I <br /> -2- <br />