San Leandro, CA · Alameda County

No notary required

Reasonable Accommodation Policy (Zoning/Land Use) Information Sheet

This information sheet and application help people with disabilities, their representatives, or organizations request zoning or land-use flexibility from San Leandro.

What this form is

The information sheet explains reasonable accommodations and the factors San Leandro considers when reviewing requests to address housing barriers caused by zoning or land-use rules. The application asks for applicant, representative, property owner or agent, and project-site details, plus a separate written narrative explaining the requested accommodation, disability-related basis, and need. The applicant and owner sign and date the form.

Who needs it

A person with a disability, their representative, or an organization may submit this application when a zoning or land-use rule creates a barrier to fair housing.

How to submit it

Submit the completed form to the Planning Division by emailing [email protected], dropping it off in person, or mailing it to City of San Leandro – Planning Division, 835 East 14th Street, San Leandro, CA 94577.

About notarization

This document is signed without a notary; applicants certify under penalty of perjury by signing and dating, and provide a separate written narrative.

How to submit this form

  1. 1

    Download the Application

    Download the reasonable accommodation application and information sheet.

  2. 2

    Complete the Form

    Fill in the applicant, representative if applicable, property owner or agent, and project-site information.

  3. 3

    Prepare the Narrative

    Attach a separate written narrative describing the requested accommodation, disability-related basis, and why it may be necessary.

  4. 4

    Sign and Submit

    Sign and date the form, then email it, drop it off in person, or mail it to the Planning Division.

Frequently asked questions

Who can request a reasonable accommodation?
A person with a disability, their representative, or an organization can request an accommodation when a zoning law or land-use rule creates a barrier to fair housing.
What information does the application ask for?
It asks for applicant, representative, property owner or authorized agent, and project-site information. Attach a separate written narrative describing the accommodation, disability-related basis, and why it may be necessary.
Do I need a notary for a reasonable accommodation request?
No. The form has no notary block; applicants certify under penalty of perjury by signing and dating. It also requires a separate written narrative.
How do I submit the reasonable accommodation application?
Email the completed form to [email protected], drop it off in person, or mail it to the Planning Division at 835 East 14th Street, San Leandro, CA 94577.

Need something notarized?

This Reasonable Accommodation Policy (Zoning/Land Use) Information Sheet doesn’t need a notary — but if you have another San Leandro form that does, a commissioned online notary can help.