Clearlake, CA · Lake County
Request for Appeal – Public Hearing
This form lets an appellant request a public hearing and explain an appeal concerning a violation cited for a property in Clearlake.
What this form is
Use this request to appeal a violation and seek a public hearing. The form asks for the appellant’s contact information, the citation’s APN and property address, the violation date, and the reason for the appeal. It includes space for a continued appeal explanation and requires the appellant’s signature and date; a $200 hearing filing fee is due when the request is submitted.
Who needs it
An appellant seeking a public hearing about a violation cited for a property should complete and submit this request.
How to submit it
The form lists a $200 hearing filing fee due when the request is submitted. Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the appellant just signs and dates the request.
How to submit this form
- 1
Download The Request
Download the Request for Appeal – Public Hearing.
- 2
Complete The Form
Provide the appellant’s contact information, citation details, violation date, and reason for appeal.
- 3
Sign And Date
Sign and date the request. The form provides additional space on the reverse for the appeal reason.
- 4
Submit The Request
Submit the request with the $200 hearing filing fee due at submission; check the city website for current contact details.
Frequently asked questions
- What is the Request for Appeal – Public Hearing?
- It is a form for requesting a public hearing and explaining an appeal about a violation cited for a property.
- What information does the appeal request ask for?
- It asks for appellant contact details, the citation’s APN and property address, the violation date, the appeal reason, and the appellant’s signature and date.
- Do I need a notary for the Request for Appeal – Public Hearing?
- No. The document has no notary block; the appellant just signs and dates the request.
- How do I submit the Request for Appeal – Public Hearing?
- The form lists a $200 hearing filing fee due when submitted. Submit it to the city department named on the form and check the city website for current contact details.
Need something notarized?
This Request for Appeal – Public Hearing doesn’t need a notary — but if you have another Clearlake form that does, a commissioned online notary can help.