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qu if <br /> APPLICATION - -fIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �jFORN`P FILE NUMBER: <br /> 00 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Applicant Information <br /> Name: <br /> Address. <br /> Phone: ©�' �- — � <br /> Permit Information <br /> Permit Number(s): �� �vC Date ZApproved: <br /> Approving Agency: Staff ❑ Planning Commission ❑ Board of Sus <br /> Expiration Date: p Extension Requested on: a <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 /> �-- <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 /> Signatur Date: <br /> SIGNATURE <br /> FcA <br /> le No. - CJS O ' <br /> Receipt No. C) -L-) !�, Y <br /> cepted by: G, Date: <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 2 <br /> Time Extension.doc(Revised 10-19-04) <br />