Permit and Application Extension Request

This form is for City-issued permits or applications that have expired or are close to their expiration date.

Permit or Application Number(Required)

Enter associated permit or application number, (e.g. RES-123456, CMI-123456, DMO-123456, MPE-123456, …)

Expiration Date(Required)

Site Address(Required)

Street Address City State ZIP Code

Reason for Delay(Required)

Extension Requested(Required)

14 days

30 days

60 days

90 days

180 days (Permits Only)

Contact Name(Required)

First Last

Role(Required)

Owner

Contractor

Applicant

Contact Phone(Required)

Contact Email(Required)

You will be contacted once your request has been processed.

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