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w <br /> 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: 60 6 <br /> Lr <br /> Phone: 2/C `(V C 2 go I— <br /> PERMIT INFORMATION <br /> Permit Number(s): _ q 6_ Z Date Approved., /- Z _ 17 <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: /L_ t p 0 J 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 /> How much additional time is being requested: 3 y/z S <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 /> Signature: Date: <br /> STAFF USE ONLY . <br /> File No: /h C� Z c Receipt No. 0 S/ 6 /O <br /> Accepted by: G 7 �` Date: /Z - Z - 19 <br />