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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED.BYTHE APPLICANT PRIOR TQFILING THE APPLICATION : <br /> �. c y <br /> APPI.ICAN7"11VFORMATION; <br /> 1 <br /> Name: til\ \ 64 <br /> Address: <br /> t. <br /> Phone: ��� - ) <br /> PERMIT INFORMATION"_ t-,�I <br /> , Date Approved: <br /> Permit Number(s): f <br /> Approving Agency: ❑ Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Extension Requested on: <br /> Expiration Date: <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 /> 14 <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 /> Dare: <br /> Signature: <br /> STAFF USE ONLY <br /> t—- Receipt No. <br /> FiPo No: <br /> Date: <br /> Accepted by: <br /> -2- <br />