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Revised 04-19-2023 Page 1 of 2 City of Whitefish Planning & Building Dept 418 E 2nd St │PO Box 158 Whitefish, MT 59937 Phone: (406) 863-2410 SUBDIVISION IMPROVEMENT AGREEMENT: REQUEST FOR EXTENSION Subdivision Name: A. APPLICANT INFORMATION APPLICANT: Name: Phone: Mailing Address: City, State, Zip: Email: B. SUBDIVISION EXTENSION REQUEST INFORMATION: a. Date Subdivision Improvement Agreement Expires: b. Description of Improvements Completed to Date: C. EXPLAIN REASON FOR REQUEST: a. Requested new Subdivision Improvement Agreement Expiration Date: File Date: Intake Staff: Date Complete: ---PAGE BREAK--- Revised 04-19-2023 Page 2 of 2 D. Application Contents: Attached ALL ITEMS MUST BE INCLUDED - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED Subdivision Improvement Agreement: Request for Extension Application Updated and signed original Subdivision Improvement Agreement Updated and signed original Guarantee Updated and signed original Engineer’s Estimate When all application materials are submitted to the Planning & Building Department, and the staff finds the application is complete, the staff will schedule the request for a public meeting before the City Council. I hereby certify under penalty of perjury and the laws of the State of Montana the information submitted herein, on all other submitted forms, documents, plans or any other information submitted as a part of this application, to be true, complete, and accurate to the best of my knowledge. The signing of this application signifies approval for the Whitefish Planning & Building staff to be present on the property for routine monitoring and inspection during the approval and development process. Applicant Date