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APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> APPLICANT INFORMATION <br /> [Address: <br /> ame.. <br /> S hone: ill 2 <br /> PERMIT INFORMATION •'� � <br /> Permit Number, i,: — L Date Approved: <br /> Approving Agency: R Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: 5`—y — 7 Extension 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: !Z O / N <br /> N <br /> How much additional time is being requested: �1A ;Z <br /> NOTE: Times Extensions can be granted for up to 1 year for development applica ons and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: U �� <br /> Date: <br /> STAFF USE ONLY <br /> File No: I 5 r d <br /> Receipt No. K;046010 <br /> Hccepted by: VIS Date: 12 <br />