Susanville, CA · Lassen County

No notary required

Sidewalk, Curb, Gutter and Drive Approach Verification Agreement

Property owners or applicants sign this agreement to acknowledge that sidewalk, curb, gutter, or drive approach improvements may be required for a project in Susanville.

What this form is

The agreement records the project address, permit number, date, and owner or applicant signature, acknowledging that required improvements must meet City Public Works Standards. Susanville requires improvements when qualifying work is done on private property, and the form says a Right of Way Encroachment Permit must be obtained before building permit issuance. The Public Works Inspector must inspect and approve the installation before the final building inspection is called.

Who needs it

Owners or applicants with qualifying building improvements in Susanville should sign the agreement to acknowledge possible curb, gutter, sidewalk, and drive approach requirements.

How to submit it

The form lists the Building Division at 66 North Lassen Street, Susanville, CA 96130. It also says to obtain a Right of Way Encroachment Permit from the Public Works Department before building permit issuance.

About notarization

This agreement is signed without a notary; the owner or applicant signs and dates it, and the document identifies no notarized attachment or related step.

How to submit this form

  1. 1

    Download The Agreement

    Download the Sidewalk, Curb, Gutter and Drive Approach Verification Agreement PDF.

  2. 2

    Complete The Agreement

    Enter the permit number, project address, and date, then sign as the owner or applicant.

  3. 3

    Obtain The Encroachment Permit

    Obtain a Right of Way Encroachment Permit from the Public Works Department before building permit issuance.

  4. 4

    Submit To The Building Division

    The form lists the Building Division at 66 North Lassen Street, Susanville, CA 96130.

Frequently asked questions

Do I need a notary for the Sidewalk Verification Agreement?
No. The agreement has an owner or applicant signature and date line, but no notary block or notarized attachment.
When does Susanville require this agreement?
The form describes curb, gutter, and driveway requirements for qualifying improvements over $25,000, and sidewalks for improvements over $50,000.
How do I submit the Sidewalk Verification Agreement?
The form lists the Building Division at 66 North Lassen Street, Susanville, CA 96130. It also says to obtain a Right of Way Encroachment Permit from Public Works before building permit issuance.

Need something notarized?

This Sidewalk, Curb, Gutter and Drive Approach Verification Agreement doesn’t need a notary — but if you have another Susanville form that does, a commissioned online notary can help.