Dixon, CA · Solano County

No notary required

Permit Extension Request

This form lets an owner or contractor request an extension to an issued building permit from the City of Dixon.

What this form is

Use this form to request an extension for an issued permit. It asks for the permit number, project address, APN, project name, permit type, applicant contact information, who is requesting the extension, and the reason for the request. The form includes a signature and printed-name field; the city records whether the request is approved or denied.

Who needs it

An owner or contractor seeking an extension to an issued permit can complete this request form.

How to submit it

The form lists the City of Dixon Community Development Department – Building Division at 600 East A St, Dixon, CA 95620, and [email protected]. It does not specify a submission method.

About notarization

This document is signed without a notary; it lists no notarized or sworn attachment, so the signer just signs and prints their name.

How to submit this form

  1. 1

    Download The Form

    Download the Permit Extension Request PDF.

  2. 2

    Complete The Request

    Enter the permit and project details, applicant contact information, requester type, and reason for the extension.

  3. 3

    Sign The Form

    Sign and print your name. The form lists no attachment to gather.

  4. 4

    Contact The Building Division

    The form lists the Building Division address and email but does not specify how to submit the request.

Frequently asked questions

Who can request a permit extension?
The form identifies the person requesting the extension as either the owner or contractor and is for extensions to issued permits.
What information does the request ask for?
It asks for permit and project details, applicant contact information, whether the requester is the owner or contractor, and the reason for the extension request.
Do I need a notary for the Permit Extension Request?
No. This form is signed without a notary, and it lists no notarized or sworn attachment; the signer just signs and prints their name.
How do I submit the Permit Extension Request?
The form lists the Building Division’s address and email, but does not specify a submission method. Contact the division using the details printed on the form.

Need something notarized?

This Permit Extension Request doesn’t need a notary — but if you have another Dixon form that does, a commissioned online notary can help.