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V.1. <br /> APPLICATION - -TIME EXTENSION <br /> �q•�f•�oG .� <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • �` ��• FILE NUMBER: TE- D J� I <br /> �ikoR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> Address: ZZ <br /> Permit Information <br /> Permit Number(s): Date Approved: <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: /Z — IExtension 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 /> O� 7 e P S <br /> How much additional time is being requested: <br /> NOTE: Time Extensions can be granted for up to 1 year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: I Date: <br /> SIGNATURE <br /> File No: Receipt No. <br /> Accepted by: Date: <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />