San Leandro, CA · Alameda County

No notary required

Permit Application Direct Cost

Applicants use this form to provide project and contact information and agree to pay direct and related costs for City of San Leandro project review.

What this form is

Use this form for a project application handled by the City’s Planning Division, selecting the applicable permit or review type listed on the form. It requests project details, applicant and property owner or authorized agent information, and signatures agreeing to pay review and related costs; an authorization document must be attached when an authorized agent files.

Who needs it

Applicants filing a listed project application with the Planning Division, including an authorized agent who must attach authorization from the property owner.

How to submit it

Submit to the Planning Division through www.SanLeandro.org/PermitPortal, at 835 East 14th Street, San Leandro, CA 94577, or by email to [email protected].

About notarization

This document is signed and dated without a notary; it includes a certification under penalty of perjury, but no separate notarized attachment or step is stated.

How to submit this form

  1. 1

    Download The Form

    Download the Permit Application Direct Cost PDF.

  2. 2

    Complete Project Details

    Enter the project address, APN, lot area, zoning, project description, and applicant and owner or agent contact information.

  3. 3

    Gather Authorization

    If an authorized agent files the application, attach the property owner’s authorization document.

  4. 4

    Sign And Submit

    Sign and date the form, then submit it to the Planning Division through the Permit Portal, by email, or at the listed street address.

Frequently asked questions

What is the Permit Application Direct Cost form for?
It collects project and contact information and records the applicant’s agreement to pay personnel and related costs for review and processing of a project application.
Who must complete this form?
Applicants submitting a project application to the Planning Division complete it. An authorized agent filing for a property owner must attach an authorization document.
Do I need a notary for the Permit Application Direct Cost form?
No. The form is signed and dated without a notary. It includes a certification under penalty of perjury, but states no separate notarized attachment or step.
How do I submit the Permit Application Direct Cost form?
Submit it to the Planning Division through the Permit Portal, at 835 East 14th Street, San Leandro, CA 94577, or by email to [email protected].

Need something notarized?

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