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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> r— <br /> TO.BE COMPLETED B.Y THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> �:• .s="`'APPLICANT'INFORMATION r <br /> Name: <br /> Address: 0 / <br /> Phone: <br /> ';PERMIT&FORMATION <br /> Permit Number(s): — 9 Date Approved: <br /> Approving Agency: ❑ Staff Planning Commission ❑ Board of Supervisors <br /> Expiration Date: —/3_O/ Extension Requested on: <br /> Give the reason for the request for a time extension(include the circumstances that have prevented the projoct from preceding on <br /> schedule: <br /> D i4 I'S L cE v— leH,,ALI <br /> O - Z Q L rtZ <br /> How much additional time is being requosled: L� M <br /> NOTE. Times Extensions can be granted for up to aar for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: <br /> ' > STAFF USE ONLY'. <br /> File No: L•I' _ l Receipt No. <br /> Accepted by: ,� `X� Dale: <br />