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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ;Y ✓'e <br /> ,•,..,, .TO BE COMPLETED BY THE APPLICANT PRIOR 70 FILING THE APPLICATION ` <br /> ."APPLICANT INFORMATION <br /> Name: r <br /> Address: <br /> Phone: —U <br /> PERMIT INFORMATION' , <br /> Permit Number(s): t -�-(� Date Approved: <br /> Approving Agency: ❑ Staff ❑ Planning Commission' Board of Supervisors <br /> Expiration Date: Extension Requested on S a <br /> Give the reason for the request for a time extension(include the circumstances that have prevented the project from preceding on <br /> schedule: j -. ..Lx - /S <br /> CiZu r a <br /> -r .z <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: Defe: <br /> STAFF,USE�ONLY. <br /> File No: I'1� 5 �j Receipt No. fb <br /> Accepted by: LL 1 Q fc� Date: <br /> -2- <br />