Sequim, WA · Clallam County
Land Use Request for Extension
Property owners use this form to request an extension of time for an approved land use permit before its expiration.
What this form is
This form lets a property owner request more time for an approved land use permit. The form says the written request must be made within 14 calendar days before the permit expires; preliminary plat approval has a separate 30-day minimum filing period. It asks for project and permit details, the reason for delay, code-compliance and changed-circumstances answers, and applicant or property owner contact information.
Who needs it
A property owner seeking an extension for an approved land use permit, including preliminary plat approval, uses this request.
How to submit it
Submit the written request to the Department of Community Development at 152 W. Cedar Street, Sequim, WA 98382.
About notarization
This request is signed and dated without a notary; it includes the applicant’s declaration under penalty of perjury that the information is true and complete.
How to submit this form
- 1
Download The Request
Download the Land Use Request for Extension form.
- 2
Complete The Project Information
Provide the project name, application type, permit number, approval date, site address or parcel number, and reason for delay.
- 3
Answer The Permit Questions
Answer the questions about development-code compliance and changes in circumstances, then provide applicant or property owner information.
- 4
Sign And Submit
Sign and date the declaration, then submit the written request to the Department of Community Development at the address on the form.
Frequently asked questions
- What is the Land Use Request for Extension?
- It is a written request for a property owner seeking more time for an approved land use permit. It asks for project details, the reason for delay, and other information.
- When should I file a land use extension request?
- The form says to request an extension within 14 calendar days before the permit expires. For preliminary plat approval, it specifies filing no fewer than 30 calendar days before expiration.
- Do I need a notary for the Land Use Request for Extension?
- No. The request is signed and dated without a notary, but it includes the applicant’s declaration under penalty of perjury that the information is true and complete.
- How do I submit the Land Use Request for Extension?
- Submit the written request to the Department of Community Development at 152 W. Cedar Street, Sequim, WA 98382.
Need something notarized?
This Land Use Request for Extension doesn’t need a notary — but if you have another Sequim form that does, a commissioned online notary can help.