Time Frame Extension
Mutual Agreement Application
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P:\Time Frame Extension Application TRT/DOC/00799
WEB\Internal Only Rev. 10/18
State Law A.R.S. § 9-835(I) allows an applicant and the City to mutually agree to extend the Substantive
Review Time Frame and the Overall Time Frame of a licensing or permitting process by up to 50% of the
Overall Time Frame. This document is a voluntary agreement designed to allow flexibility in the licensing
process and to avoid unnecessary delays, cost and/or denial of applications due to unforeseen or
unavoidable circumstances.
Project Name: __________________________________ Site Address: ________________________________
Plan Review or Case Number: _________________________________________________________________
Reason for Extension Request: _________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
I agree to the amended time frame listed below. I understand this is a one-time extension of my
application and the application may be denied if not in compliance at the expiration of the Amended
Time Remaining.
Applicant Signature: _____________________________________________ Date: ______________________
Print Name: ____________________________________________________ Title: ______________________
Phone: ____________________ Fax: ____________________ Email: _______________________________
--------------------------------------------------------------- Staff Use Only ----------------------------------------------------------------
Amendment of Licensing Time Frame*
A. Original Overall Time Frame: ___________________________________________________________
B. Amended Overall Time Frame (A x 1.5) = ________________________________________________
*All times are given in calendar days.
Time Frame Extension: Approved Denied 3rd Review Fee Code: __________ Fee Amount: _________
Staff Signature: _________________________________________________ Date: ______________________
Print Name: ____________________________________________________ Phone: ____________________
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