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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO,FILINGTHE APPLICATION <br /> APPLICANT INFORMATION <br /> Name: <br /> Address: 3 j re <br /> S � -7 <br /> Phone: (20y 'I-A-7— g//2 <br /> PERMIT INFORMATION <br /> Permit Number(s): 0 Q Date Approved.' a <br /> Approving Agency: B-Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: (� 12L 0 Extension Requested on: S O <br /> Give the reason for the request for o time extension(include the circumstances that have prevented the project from preceding on <br /> schedule: <br /> (� Au ID r r o M pco V Cn 67 M-S <br /> f <br /> How much additional time is being requested: <br /> NOTE: Times Extensions can be granted for up to 1 year for development plications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: O I <br /> STAFF USE ONLY ` <br /> File No: Receipt No. <br /> Accepted by: Date: <br />