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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BYTHE APPLICA�T RR/ORTO FI�IAIGTH�APPL`ICATION ' <br /> y r.e �h+" �wm«.+ey�eaFrw�aL +".p, ad' . <br /> APPLICANT INFORMAT=IQ 1h , <br /> Name: <br /> Address: <br /> Go C Z C7 <br /> Phone: 'lj — Cc)r5Z <br /> rPERMIti1NDEig47Q, ; ,14. <br /> Permit Number(s): — — / Date Approved: <br /> Approving Agency.: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: Extension Requested on: qrS <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 /> k7 Gr <br /> ,t <br /> How much additional time is being requested., <br /> NOTE: Times Extensions can be granted for up to t year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: /p O,j O7 <br /> STAFF USEONLY + R § '.',, <br /> File No: Receipt No. <br /> Accepted by.: Date: <br /> 2 <br />