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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Y? �7 4{ �i a'�y TO BE COMPL ETED BY THEJAPPLICANT,PRIOR,TO FiLIl4 7 APP/i*10N <br /> a"APPLICANT'INFORMATION <br /> r Z C.C <br /> Address: �. f/J �f /1 L t J •l <br /> Phone: <br /> r, *PERMIT INFORMATION t <br /> Permit Number(s): Mf- d),h C.-I 4- Date Approved. 1 r L' 7— <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: (.% L` Extension Requested on: 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: <br /> Cl C 1 Ci. - <br /> } t ^ j L <br /> IA <br /> i e, 1 C <br /> L ) �` <br /> How much additional time is being requested. 77c(.) 4e.-1!1 r f <br /> NOTE., TI es Extensions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature:' ', �? .r tf �' _tl,l `( Data: <br /> - <br /> File No: C. -�j-< < Receipt No. <br /> Accepted by: �(� `�� Date: <br /> -2- <br />