Information Request
Mutual Agreement Application
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This publication can be made available in alternate formats (Braille, large print or electronic media) upon request.
Contact Planning & Development at (602) 262-7811 voice or (602) 534-5500 TTY.
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State Law A.R.S. § 9-835(G) allows the city and applicant to mutually agree in writing to allow the city to submit
supplemental requests for additional information. The substantive review time frame and the overall time frame
will be suspended from the date the request is issued until the date that the city receives all of the additional
information from the applicant. This document is a voluntary agreement designed to allow flexibility in the
licensing process and to avoid unnecessary delays, fees and/or denial of the application due to unforeseen or
unavoidable circumstances.
Project Name: ______________________________________________________________________________
Site Address ________________________________________________________________________________
Plan Review or Case Number: _________________________________________________________________
Additional Information Requested: _______________________________________________________________
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Staff Contact (Print Name): ______________________________________ Phone: _____________________
Staff Signature: _______________________________________________ Date: _______________________
If the city does not receive a response to this agreement by close of business on _________________________ ,
the application may be denied.
I agree to suspend the overall time frame and provide additional information to the city as requested above.
Applicant Signature: ____________________________________________ Date: _______________________
Print Name: __________________________________________________ Title: _______________________
Phone: _________________ Fax: _______________ Email: ______________________________________
