Lassen County, CA · Lassen County

No notary required

Limited Density Owner-Built Rural Dwelling Application and Affidavit

Property owners use this application and affidavit to request authorization to construct a limited density owner-built rural dwelling in 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 application lets a property owner request authorization to construct a limited density owner-built rural dwelling on a specified parcel. The county reviews the application, plans, and other submitted data for compliance with the applicable requirements before a building permit can be issued. The form asks for the owner's name, property location, assessor parcel number, supporting evidence, and signatures.

Who needs it

A property owner seeking authorization to build a limited density owner-built rural dwelling on a Lassen County parcel needs this application.

How to submit it

The form identifies the Department of Planning and Building Services. Submit the application and supporting evidence to that department; check the county website for current contact details.

About notarization

This document is signed without a notary; the owner signs and dates the application and provides evidence that the proposed construction meets applicable requirements.

How to submit this form

  1. 1

    Download the Application

    Download the Limited Density Owner-Built Rural Dwelling Application and Affidavit.

  2. 2

    Complete the Form

    Enter the owner's name, property location, and assessor parcel number, then sign and date the request.

  3. 3

    Gather Supporting Evidence

    Attach evidence that the proposed construction meets the applicable requirements.

  4. 4

    Submit to the County

    Submit the application and supporting evidence to the Department of Planning and Building Services.

Frequently asked questions

What is the Limited Density Owner-Built Rural Dwelling Application?
It is a request for authorization to construct a limited density owner-built rural dwelling on a specified Lassen County parcel.
Who completes this application?
The property owner seeking authorization completes the form, identifies the parcel, provides supporting evidence, and signs and dates the request.
Do I need a notary for the Limited Density Owner-Built Rural Dwelling Application?
No. This document is signed without a notary; the owner signs and dates it and provides evidence that the proposed construction meets applicable requirements.
How do I submit the application?
Submit the application and supporting evidence to the Department of Planning and Building Services. Check the county website for current contact details.

Need something notarized?

This Limited Density Owner-Built Rural Dwelling Application and Affidavit doesn’t need a notary, but if you have another Lassen County form that does, a commissioned online notary can help.