N:\Planning\Applications\120-Day Clock Extension App 2016.docx
CITY OF HOOD RIVER
APPLICATION FOR
“120-DAY CLOCK” EXTENSION
Submit the completed form to the City of Hood River Planning Department, 211 2
nd
St.,
Hood River, OR 97031. If you have any questions, please contact the Planning Department at
(541) 387-5210.
APPLICANT:
Name:
File No.:
Signature:
Date:
Pursuant to Oregon Revised Statute 227.178 I hereby waive (check box) the
State of Oregon’s120-day rule or extend it for days (total extensions may
not exceed 245 days) for the above-referenced application.
For the same period of time, I also grant the City of Hood River an extension of any
timeline specified in the Hood River Municipal Code for processing the above-
referenced application.
Extending the application processing time may result in the resolution of issues or
problems with my application however I understand that waiving or extending the
timeline does not guarantee such a resolution.
click to sign
signature
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