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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BYTHE APPLICANT PRIOR TO FILING THE APPLICATION <br /> APPLICANT INFORMATION <br /> Name j2 11Z / Pi-t, / r/ c9/v.0 L� <br /> Address: -2 ,e C V(y T C <br /> /fxg7 PA/ <br /> c 9 J 6 ti <br /> Phone: <br /> PERMIT INFORMATION <br /> Permit Number(s): -SA - C� Dale Approved: <br /> Approving Agency: )< staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date.' Cl-.Z. 2- Extension Requested on: C/ - Z 2- <br /> Give <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 /> - GO <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: Date: / _ 2 L-- �^} <br /> STAFF USE ONLY <br /> Filo No: I (.I I Receipt No. O 3 <br /> Accepted by: ate: Z Z U J <br /> 2_ <br />