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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY7HE APPUCANT PRIOR TO FILING THE APPLICATION <br /> APPLICANT''II NFOR/MATION -.V <br /> Name: ;- —OC +o h G (2 YA (.'V- , r t <br /> J4- I <br /> Address: p YA , W " 1SO P-\/ <br /> Phone: <br /> ; PERMITINFORMAT/ON <br /> Permit Number(s): _ Date Approved: C _t( - <br /> Approving Agency., ❑ Staff Id Planning Commission ❑ Board of Supervisors <br /> Expiration Date.' 7- _ 2- I Extension Requested on: 0 � <br /> L <br /> Give the reason for the request for a time extension(include the circumstances that have prevented the project from preceding on <br /> schedule: l <br /> I <br /> •i <br /> How much additional time is being requested. r <br /> NOTE: Times Extensions can be granted for up to I year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE. <br /> Signature: )ate: <br /> i ty e' ;t STAFF USE.ONLY':;� l/i-� <br /> 7 . c, v: <br /> File No.' Receipt No. <br /> Acca pled by: Date: <br /> -2- <br />