Patagonia, AZ · Santa Cruz County

No notary required

Encroachment Permit Application

This application lets a person or business request permission for work involving public streets, alleys, sidewalks, or other thoroughfares in Patagonia.

What this form is

Use this application to describe proposed work and identify the applicant and contractor. The text says permits are required before placing utility installations in public streets, alleys, or thoroughfares, and written permission is required before digging or excavating in public areas. It requests applicant contact information, a work description, contractor name, and a signature and date.

Who needs it

A person, business, owner, builder, contractor, utility, or other party planning covered work in a Patagonia public street, alley, sidewalk, or thoroughfare may need this application.

How to submit it

The form lists the Town of Patagonia at P.O. Box 767, Patagonia, AZ 85624. It also provides a phone number and fax number, but does not specify a submission method.

About notarization

This document is signed without a notary; the applicant signs and dates the application, and no notarized or sworn attachment is identified.

How to submit this form

  1. 1

    Download the Application

    Download the Encroachment Permit Application PDF.

  2. 2

    Complete the Applicant Information

    Enter the applicant’s name, address, phone number, and email.

  3. 3

    Describe the Work

    Provide a description of the proposed work and the contractor’s name.

  4. 4

    Sign and Submit

    Sign and date the application, then submit it to the Town of Patagonia at the address listed on the form.

Frequently asked questions

Do I need a notary for the Encroachment Permit Application?
No. The application has a signature and date line but no notary block; the signer just signs and dates it.
Who uses the Encroachment Permit Application?
People, businesses, owners, builders, contractors, utilities, and other parties planning covered work in public streets, alleys, sidewalks, or thoroughfares may use it.
What information does the application request?
It asks for the applicant’s name and contact information, a description of the work, the contractor’s name, and the applicant’s signature and date.
How do I submit the Encroachment Permit Application?
The form lists the Town of Patagonia, P.O. Box 767, Patagonia, AZ 85624. It provides phone and fax numbers but does not specify a submission method.

Need something notarized?

This Encroachment Permit Application doesn’t need a notary — but if you have another Patagonia form that does, a commissioned online notary can help.