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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: �� ��+q a <br /> Address: r i— <br /> r J <br /> Phone: U <br /> PERMIT INFORMATION <br /> Permit Number(s): Date Approved: <br /> Approving Agency: ❑ Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 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 /> 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 /> s y� <br /> Signature: Date: Ll <br /> r TAFF USE ONLY I <br /> IFite No: Receipt No. <br /> Accepted by: Date: <br />