Delano, CA · Kern County
Environmental Assessment Information Form
Delano applicants use this form to provide project details and environmental information for a related permit application.
What this form is
This form provides information for an initial environmental evaluation of a project tied to a permit application. It asks about the applicant, project site, proposed development, potential environmental effects, and surrounding properties. Delano Planning staff require all items to be checked, and the form signed and dated; applicants must also provide legible information and scaled drawings.
Who needs it
Applicants with a project permit application complete this form with project details, environmental information, and the requested supporting materials.
How to submit it
The form identifies the Community Development Department at 1005 Eleventh Avenue, P.O. Box 3010, Delano, California 93216. It says Planning staff will not accept the application unless all items are checked and it is signed and dated.
About notarization
This document is signed without a notary; it requests applicant and property owner signatures, and the signer just signs and dates it.
How to submit this form
- 1
Download the Form
Download the Environmental Assessment Information Form for your project.
- 2
Complete the Form
Fill in the requested permit, applicant, project, environmental effects, and environmental setting information, and check all applicable items.
- 3
Gather Supporting Materials
Attach plans, site and vicinity photographs, and any additional sheets needed to answer the form's questions. Drawings must be to scale.
- 4
Sign and Submit
Sign and date the form, then submit it to the Community Development Department at the address shown on the form.
Frequently asked questions
- What does the Environmental Assessment Information Form ask for?
- It requests project and site details, potential environmental effects, information about surrounding properties, and supporting plans or photographs.
- Who completes this form?
- The applicant or authorized agent provides the project information and certifies that the submitted information is true and correct to the best of their knowledge.
- Do I need a notary for the Environmental Assessment Information Form?
- No. The document is signed without a notary; it requests applicant and property owner signatures, and the signer just signs and dates it.
- How do I submit the Environmental Assessment Information Form?
- The form identifies the Community Development Department at 1005 Eleventh Avenue, P.O. Box 3010, Delano, California 93216. Planning staff require all items checked and the form signed and dated.