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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: �7 <br /> cl o l cSery <br /> Address: 0, o b <br /> Phone.' ti C 7 S -26,21 <br /> PERMIT INFORMATION <br /> Permit Number(s): Date Approved: <br /> Approving Agency: ❑ Staff ❑ Planning Comm sion ❑ Board of Supervisors <br /> Expiration Data: _2v ,_j / 1 Extension Requested on. <br /> Give the reason fort a request for a time extension(include the circumstance that have prevented the project from pr ceding on <br /> schedule: - t alp C <br /> F <br /> e <br /> How much additional time is being requested: f <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: Dale: <br /> STAFF USE ONLY <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> -z- <br />