The underlying reason has to do with the way programs are typically compiled and linked on systems on which C is the "natural language", and the origin of the C language. The following describes conceptually how a program is generated from a collection of source files with static linking.
A program (which may or may not be written in C) consists of separate units — the C term is "translation units", which are source files — which are compiled or assembled to object files.
As a very rough picture such object files expose data objects (global variables) and executable code snippets (functions), and they are able to use such entities defined in other translation units. For the CPU, both are simply addresses. These entities have names or labels called "symbols" (function names, variable names) which an object file declares as "needed" (defined elsewhere) or "exported" (provided for use elsewhere).
On the C source code level the names of objects that are used here but defined elsewhere are made known to the compiler by "extern" declarations; this is true for functions and variables alike. The compiler conceptually generates "placeholder addresses" whenever such an object is accessed. It "publishes" the needed symbols in the object file, and the linker later replaces the symbolic placeholders with the "real" addresses of objects and executable code snippets when it creates an executable.
It does not hurt to declare the use of an external object or function multiple times. No code is generated anyway. But the definition, where actual memory is reserved for an object or executable code, can in general only occur once in a program, because it would otherwise be a duplicate code or object and create an ambiguity. Local variables don't have declarations like global variables; there is no need to declare their use far away from their definition. Their declaration is always also a definition, as in your example, therefore can only occur once in a given scope. That is not different for global variable definitions (as opposed to extern declarations) which can only occur once in the global scope.