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SA - 01 - 0005 <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 /> 4 Name: �17 1'k111'' <br /> Address: 3-5 <br /> 71e <br /> Phone: <br /> PERMIT INFORMATION <br /> Permit Number(s): S" _ O Date Approved: �f Z6U <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 9—// — 2 d O Z 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: /yf <br /> NOTE: Times Extensions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> Signature: Date: &pz;p(jZ_ <br /> STAFF USE <br /> File No: _ — U Receipt No. <br /> Accepted by.• Date: v <br /> -2- <br />