Sequim, WA · Clallam County

No notary required

Request for an Extension of Land Use Project

Applicants use this written request to ask Sequim’s Department of Community Development for additional time to provide materials required during land use project review.

What this form is

This request asks the Department of Community Development for an extension to provide materials required during review for technical completeness. Applicants must request an extension in writing at least 30 days before the permit becomes null and void, and the director may grant one 30-calendar-day extension if the stated requirements are met. The form asks for project, applicant, and delay information, plus the applicant’s signature and date.

Who needs it

An applicant who needs more time to provide information, revisions, corrections, drawings, or studies requested during review of a Sequim land use project may submit this request.

How to submit it

Submit the written request to the Department of Community Development at 152 W. Cedar Street, Sequim, WA 98382; the form also lists [email protected].

About notarization

No notary is required; the applicant signs and dates the form and declares under penalty of perjury that the information is true and complete.

How to submit this form

  1. 1

    Download The Request

    Download the land use project extension request.

  2. 2

    Complete The Form

    Provide the project and applicant information, explain the delay, and sign and date the declaration.

  3. 3

    Submit The Written Request

    Send the request to the Department of Community Development at the address shown on the form.

Frequently asked questions

What is the land use project extension request?
It is a written request to Sequim’s Department of Community Development for additional time to provide materials required during review for technical completeness.
Who can request an extension?
An applicant for a land use project may request an extension if good cause prevented providing the requested information within the stated period and the information is likely to be provided during the extension.
Do I need a notary for the land use project extension request?
No. The applicant signs and dates the form and declares under penalty of perjury that the information is true and complete; no notary block is provided.
How do I submit the land use project extension request?
Submit the written request to the Department of Community Development at 152 W. Cedar Street, Sequim, WA 98382. The form also lists [email protected].

Need something notarized?

This Request for an Extension of Land Use Project doesn’t need a notary — but if you have another Sequim form that does, a commissioned online notary can help.