Lake Havasu City, AZ · Mohave County
Contractor, Application, or Permit Withdrawal Form
This form lets a contractor or property owner request withdrawal of a contractor, application, or permit and provide project details to Lake Havasu City Development Services.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to identify the project and permit or application, say who is being withdrawn, and report whether a permit was issued or work was completed. The form also asks whether you are requesting a refund and explains that plan review fees are non-refundable; a refund will not be issued if work has been done or the request is more than 180 days after permit issuance.
Who needs it
A contractor or property owner requesting withdrawal of a contractor, application, or permit from a Lake Havasu City project may use this form.
Why it needs a notary
The form includes a notary acknowledgment; the person named as acknowledging the document signs before the notary, who completes the acknowledgment.
How to get this notarized
- 1
Download The Form
Get the Withdrawal Form from Lake Havasu City Development Services.
- 2
Fill In Project Details
Choose contractor, application, or permit withdrawal and complete the project, contact, work, and refund details.
- 3
Book An Online Notary
Schedule a Rush Notary session with a commissioned online notary.
- 4
Sign On Video
Sign during the live audio-video session so the notary can complete the acknowledgment.
- 5
Submit To The City
Send the completed form to Lake Havasu City Development Services.
Preview the form
The blank PDF straight from Lake Havasu City. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the Withdrawal Form notarized online?
- Complete the form, book a Rush Notary session, and sign during live audio-video with a commissioned online notary. Submit the notarized form to the city.
- Do I need to notarize this withdrawal form?
- The form includes a notary acknowledgment block. The person named as acknowledging the document signs before a notary, who completes that block.
- Can I request a refund when withdrawing a permit?
- The form asks whether you are requesting a refund. It says plan review fees are non-refundable and no refund will be issued if work has been done or the request is submitted more than 180 days from permit issuance.
- Will the city accept an online notarization?
- Arizona recognizes qualifying remote online notarizations. Because acceptance can depend on the city’s requirements, confirm with the city if unsure.