Clearlake, CA · Lake County
Application for Lot Segregation
Property owners use this application to request lot segregation from the City of Clearlake and provide parcel, ownership, and contact information.
What this form is
The City of Clearlake lot segregation application records the parcel address, assessor parcel number, property owner details, and the applicant’s signed declaration. Applicants must include a copy of the deed conveying title and pay the non-refundable processing fee when submitting the application. The form also directs applicants to contact water and sewer administrative offices and present the application to the County of Lake Assessor-Recorder for further instruction and processing.
Who needs it
Property owners seeking lot segregation in Clearlake should complete this application and provide the requested ownership information and deed copy.
How to submit it
Submit the application with a copy of the deed and the $153 non-refundable processing fee due upon submittal. Present it to the County of Lake Assessor-Recorder for further instruction and processing.
About notarization
This application is signed without a notary; the applicant makes a declaration under penalty of perjury, but no notarized attachment or step is specified.
How to submit this form
- 1
Download the Application
Download the City of Clearlake Application for Lot Segregation.
- 2
Complete the Application
Enter the parcel and owner details, then sign and date the applicant declaration.
- 3
Gather the Deed
Include a copy of the deed conveying title, as required by the application instructions.
- 4
Submit the Application
Submit it with the $153 non-refundable processing fee, then present it to the County of Lake Assessor-Recorder for further instruction and processing.
Frequently asked questions
- Do I need a notary for the Application for Lot Segregation?
- No. The application has signature and date lines but no notary block. The applicant makes a declaration under penalty of perjury; no notarized attachment or step is specified.
- How do I submit the lot segregation application?
- Submit the application with a copy of the deed and the $153 non-refundable processing fee. The form says to present it to the County of Lake Assessor-Recorder for further instruction and processing.
- What information does the application ask for?
- It asks for the parcel address, assessor parcel number, property owner name, mailing address, phone number, and email, along with the applicant’s signature and date.
- What attachment does the application require?
- The instructions ask applicants to provide a copy of the deed conveying title and submit it with the application.
Need something notarized?
This Application for Lot Segregation doesn’t need a notary — but if you have another Clearlake form that does, a commissioned online notary can help.