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Extension Request: Montgomery County Planning Department

This document is an application form for requesting an extension of a preliminary plan, site plan, project plan, approval of a preliminary plan of subdivision validity, or record plat validity. It provides information on the applicant, property details, type of plan or validity requiring extension, expiration date of the existing approval, and requested length of extension. The checklist outlines the submission requirements, including the application form, fee worksheet and payment, copies of the approved plan, notice list, valid planning board opinions, justification letter, and records of prior extensions if applicable.

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0% found this document useful (0 votes)
43 views1 page

Extension Request: Montgomery County Planning Department

This document is an application form for requesting an extension of a preliminary plan, site plan, project plan, approval of a preliminary plan of subdivision validity, or record plat validity. It provides information on the applicant, property details, type of plan or validity requiring extension, expiration date of the existing approval, and requested length of extension. The checklist outlines the submission requirements, including the application form, fee worksheet and payment, copies of the approved plan, notice list, valid planning board opinions, justification letter, and records of prior extensions if applicable.

Uploaded by

Planning Docs
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Development Review Division 1 of 1

Montgomery County Planning Department


Maryland-National Capital Park and Planning Commission Effective: April 2, 2008
8787 Georgia Avenue Phone 301.495.4595
Silver Spring, Maryland 20910-3760 www.mc-mncppc.org/development Fax 301.495.1306

EXTENSION REQUEST
Clear Form ❑ Request #1 ❑ Request #2 ❑ Request #3
M-NCPPC Staff Use Only
File Number ____________________ Fee (attach worksheet) ____________________
Date Application Received ____________________ Fee Received by ____________________
MCPB Hearing Date ____________________
An application will not be accepted for review unless all required information and fees are provided. If an item requires more space, attach a separate sheet.

Plan Name: ____________________________________________________Plan No. ___________________________


This is a request for extension of: Preliminary Plan Site Plan Project Plan APF Validity Record Plat Validity
Plan will expire on: _______________, requesting extension for __________ months until _______________________
Applicant Owner, Owner’s Representative, or Contract Purchaser – check applicable; written verification required if not the owner.)

Name Contact Person

Street Address

City State Zip Code

Telephone Number ext. Fax Number E-mail


Attorney

Name Contact Person

Street Address

City State Zip Code

Telephone Number ext. Fax Number E-mail


Applicant hereby certifies that he/she is the sole owner of the subject property, is otherwise legally authorized to represent the owner(s) (written
verification provided), or is a contract purchaser authorized to submit this application by the property owner (written verification provided).
Signature of Applicant (Owner, Owner’s Representative or Contract Purchaser)
_______________________________________________________ _____________________
Signature Date
_______________________________________________________
Name (Type or Print)
No. Engineer/ M-NCPPC
Checklist Copies Surveyor Staff
General Information Submitted or Waived By Accepted or Not Accepted

1. Complete application form and checklist........….….....…..……………………….. 1 Submitted

2. Complete fee schedule and worksheet and fee......….....………………………… 1 Submitted

3. Copies of Approved plan.……………………….…………………………............... 3 Submitted


2 sets of
Labels &
4. Notice List prepared in conformance with the Manual of Development Review 1 paper
Procedures on printer labels and paper copy of labels......………………………. copy Submitted

5. Current valid Planning Board Opinion(s)………………………………………..... 2 Submitted

6. Letter justifying request……………………………………………………................ 3 Submitted

7. Prior Extension Approvals, if Extension #2 or #3………………………………….. 2 Submitted

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