Blue Lake, CA · Humboldt County
Encroachment Permit Application
Applicants and contractors use this application to request permission for work in or use of the City of Blue Lake right-of-way.
What this form is
The City requires an encroachment permit for anyone working in or blocking the City right-of-way. The application asks for applicant and project details, location and scope of work, and estimated dates; it also includes indemnity terms and contractor and applicant signature lines. Applicants must provide the listed plans, traffic control information, business license, and insurance documents as applicable. Permits expire 30 days after issuance unless otherwise specified.
Who needs it
Anyone planning work in or blocking the City of Blue Lake right-of-way, including an applicant or contractor, needs to submit this application.
How to submit it
Return the completed and signed application with required documents to the City of Blue Lake, 111 Greenwood Road, P.O. Box 458, Blue Lake, CA 95525. The form lists regular business hours as Monday through Thursday, 9 a.m. to 4 p.m., closed 12 to 1 p.m.
About notarization
This application is signed without a notary; the applicant and contractor sign and date it, and no notarized or sworn attachment is specified.
How to submit this form
- 1
Download the Application
Download the Encroachment Permit Application PDF.
- 2
Complete the Application
Provide applicant and project details, the work location and scope, estimated dates, and the required applicant and contractor signatures.
- 3
Gather Required Attachments
Include applicable business license, project plans or right-of-way use details, a traffic control plan, and the required insurance documents.
- 4
Submit to the City
Return the signed application and required documents to the City of Blue Lake at the address listed on the form.
Frequently asked questions
- Do I need a notary for the Encroachment Permit Application?
- No. The application has signature and date lines for the applicant and contractor, but no notary block or notarized attachment is specified.
- How do I submit the Encroachment Permit Application?
- Return the completed, signed application and required documents to the City of Blue Lake at 111 Greenwood Road, P.O. Box 458, Blue Lake, CA 95525, during the hours listed on the form.
- What documents must accompany the application?
- The form lists a valid City business license, project or right-of-way use details, a traffic control plan, and required insurance documents. Construction projects also require detailed construction plans.
- When is an encroachment permit required?
- The form says a permit is required for anyone working in or blocking the City right-of-way. Permits expire 30 days after issuance unless otherwise specified.