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APPLICATION o TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED 8Y THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> , EAPPLICANT'INFORMATION, 1 ` ?�'i <br /> Name: ,- ,- (� <br /> Address: <br /> 1 (_ <br /> Phone: <br /> PERMIT INFORMATION t.• , <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 /> L i1S c G <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 /> f, SIGNATURE <br /> Signaturgi 1 ; -!1C -- Deter— -U <br /> r s STAFF USE ONLYk�,#� �7 <br /> File No: ! f -Q'd Z Receipt No. <br /> Accepted by: Date: fWoLl <br /> -2- <br />