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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: <br /> Address: ,2z1-2-1)1 <br /> Phone: <br /> PERMIT INFORMATION <br /> Permit Number(s): !%n c �S` `7J c Date Approved.' <br /> Approving Agency.' Staff ❑ Planning Commission ❑ Board o/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 /> A <br /> ZIA <br /> 77 <br /> i <br /> �l 1 <br /> 5 r <br /> How much additional time is being requested: <br /> 7•/'ate- �,_,�:-r-c: ..• , � Gr i a e,-. •�/Z..b <br /> NOTE: Times Extensions can be granted for up to 1 year for develdpment applications and up to-years for subdivislons�' <br /> SIGNATURE <br /> Signature: /, �! Date: <br /> [/ STAFF USE ONLY O <br /> File No: j. C r Receipt No. <br /> Accepted by: "�t w Date: `V <br /> -2- <br />