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1 <br /> APPLICATION - TIME EXTENSION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO,BE;COMPLETEDByTHE APPUCANT„PRIORTO,FILrINGTHEAPPUCATlON . j <br /> APPLICANT/ RMATION',Y <br /> Name: > l ` <br /> Address: q(7 3o <br /> L C,( 9 G' <br /> Phone: <br /> PERMIT <br /> .X!t,i ,.7.,. .r c^ ht •, � �, a, ,Q Ll,QS`� 4 rr ,i i <br /> Permit Number(s): IA. s — y Date Approved. <br /> Approving Agency: ❑ Staff ❑ Planning Commission ❑ Board of Supervisors <br /> Expiration Date: I 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: 7 <br /> I <br /> How much additional time is being requested: �Ga�rio <br /> NOTE: Times Extensions can be granted for up to i year for development applications and up to 5 years for subdivisions. <br /> SIGNATURE <br /> Signature: Date: y- Ci / <br /> r �:,,� •, '.. STAFF�USE`ONLY” <br /> File No: _1 Receipt No. <br /> Accepted by: Date: -i l� <br /> -2- <br />