Placerville, CA · El Dorado County
Community Service Project Consultation Form
Organizations and representatives use this form to propose a community service project on City of Placerville property and provide project details.
What this form is
This form lets an applicant propose a community service project, including a monument, memorial, or plaque, on City property. It asks for the project purpose, description, category, schedule, proposed sites, costs, organization and contact details, and information about services, volunteers, insurance, and maintenance. The form also includes the City’s memorial requirements and approval process.
Who needs it
An organization or authorized representative proposing a community service project on City of Placerville property should complete and submit this form.
How to submit it
Submit the completed application to the City of Placerville Community Services Department, 549 Main Street, Placerville, CA.
About notarization
This document has no notary block; the applicant signs and dates it, and it states that a Hold Harmless Agreement is required without saying it must be notarized.
How to submit this form
- 1
Download The Form
Download the Community Service Project Consultation Form.
- 2
Complete The Application
Type or print legibly and provide the requested applicant, organization, project, location, schedule, and cost information.
- 3
Gather Project Materials
Provide a detailed map of proposed locations and include a project rendering if applicable.
- 4
Submit To The City
Submit the completed application to the Community Services Department at 549 Main Street, Placerville, CA.
Frequently asked questions
- Do I need a notary for the Community Service Project Consultation Form?
- No. This form has no notary block; the applicant signs and dates it. It says a Hold Harmless Agreement is required but does not say that agreement must be notarized.
- How do I submit the Community Service Project Consultation Form?
- Submit the completed application to the City of Placerville Community Services Department at 549 Main Street, Placerville, CA.
- What information does the form ask for?
- It asks for project details, proposed locations, schedule and estimated costs, applicant and organization information, and details about volunteers, maintenance, insurance, and city services.
- What should I provide with the application?
- The form asks for a detailed map of proposed locations and includes a question about attaching a project rendering. It also states that a Hold Harmless Agreement is required.