Susanville, CA · Lassen County
Encroachment Permit Application for Work in Street or Alley Right-of-Way
Property owners and contractors use this application to request permission for work that encroaches on public streets or alley rights-of-way in Susanville.
What this form is
This application requests permission to perform work on public lands or rights-of-way within Susanville. It asks for the project address, owner and contractor details, work description, calculated work value, contractor licensing or owner-builder declarations, and workers’ compensation information. The form also includes a fee and deposit worksheet and conditions for carrying out the permitted work.
Who needs it
Property owners or contractors planning work that encroaches on a Susanville street or alley right-of-way need this application.
How to submit it
Submit the application to the City of Susanville Department of Public Works at 720 South Street, Susanville, CA 96130. The form lists phone (530) 257-1041 and fax (530) 257-1057.
About notarization
This application is signed without a notary; its declarations are signed by the applicant or owner, and the signer dates the applicable signature.
How to submit this form
- 1
Download The Application
Download the Encroachment Permit Application PDF.
- 2
Complete The Application
Enter project, owner, contractor, work-value, licensing, and workers’ compensation information, and sign and date the applicable declarations.
- 3
Review The Conditions
Review the fee and deposit worksheet and the general conditions included with the application.
- 4
Submit To Public Works
Submit the application to the City of Susanville Department of Public Works at 720 South Street.
Frequently asked questions
- Do I need a notary for the Encroachment Permit Application?
- No. The application has signature and date lines but no notary block. Its declarations are signed by the applicant or owner.
- Who uses the Encroachment Permit Application?
- Property owners and contractors use it to request permission for work that encroaches on public lands or street or alley rights-of-way within Susanville.
- How do I submit the Encroachment Permit Application?
- Submit it to the City of Susanville Department of Public Works, 720 South Street, Susanville, CA 96130. The form also lists a phone number and fax number.