Lassen County, CA · Lassen County

No notary required

Certificate of Conditional Use Application

Applicants use this form to provide project and property details when seeking a certificate of conditional use from Lassen County.

At a glance

Issued by
City of Lassen County · Lassen County, Lassen County, California
Notarization
Not required: file this form without a notary.
Official source
lassencounty.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This one-page application is for requesting a certificate of conditional use from Lassen County. It asks for applicant and property owner contact information, the project location and description, parcel and zoning details, and signatures confirming the information is accurate. The form says all sections must be completed and refers applicants to an associated process form for required attachments and instructions.

Who needs it

Applicants seeking a certificate of conditional use from Lassen County should complete this form, with a property owner’s authorization if a representative signs for the owner.

How to submit it

Submit the completed application to the Department of Planning and Building Services; the form lists a $200 filing fee. See the associated process form for required attachments and instructions.

About notarization

This application is signed and dated without a notary; the associated process form provides required attachments and instructions.

How to submit this form

  1. 1

    Download the Application

    Download the Certificate of Conditional Use Application PDF.

  2. 2

    Complete Every Section

    Type or print clearly in black or blue ink, and complete all sections in full.

  3. 3

    Gather Required Attachments

    Consult the associated process form for required attachments and instructions.

  4. 4

    Sign and Submit

    Obtain the required signatures and dates, then submit the application to the Department of Planning and Building Services.

Frequently asked questions

Do I need a notary for the Certificate of Conditional Use Application?
No. The application calls for signatures and dates, not notarization. Check the associated process form for required attachments and instructions.
How do I submit the Certificate of Conditional Use Application?
Submit the completed application to the Department of Planning and Building Services. The form lists a $200 filing fee and refers applicants to an associated process form for attachments and instructions.
What information does the application request?
It requests applicant and property owner contact details, project location and description, parcel and zoning information, and signatures.

Need something notarized?

This Certificate of Conditional Use Application doesn’t need a notary, but if you have another Lassen County form that does, a commissioned online notary can help.