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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: � h <br /> Address: L <br /> 5 <br /> Phone: _ 1 _ 73 <br /> PERMIT INFORMATION <br /> Permit Number(s): _ 00 2 Date Approved:J o r uo f r <br /> Approving Agency. ❑ Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date, I d2rxoo 1 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 /> r <br /> C � <br /> How much additional time is being requested. 22 <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 gnature: r/ <br /> Data: <br /> STAFF USE ONLY <br /> File No �� _ l�7 Receipt No. <br /> Acce fed b <br /> Date: <br /> (J <br /> -2- <br />