Azusa, CA · Los Angeles County
Roll-Off Encroachment Permit Application
Azusa’s Roll-Off Encroachment Permit Application is for applicants requesting permission for roll-off bin or other listed work in the public right-of-way.
What this form is
This application is used to request an encroachment permit for work such as placing a roll-off bin, obstructing a street or parkway, or excavating. It asks for the project location, owner and contractor information, work duration and start date, license details, scope and quantity of work, and applicable traffic control plan references.
Who needs it
Applicants planning roll-off bin placement or other listed street, sidewalk, parkway, or alley work in Azusa need this application.
How to submit it
The form names the City of Azusa Engineering Division at 213 East Foothill Blvd., Azusa, CA 91702-1395. It lists a proposed technology enhancement fee of 5% of permit and plan review fees.
About notarization
This document is signed and dated by the applicant without a notary; it does not mention a notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Roll-Off Encroachment Permit Application PDF.
- 2
Complete The Application
Fill in the project, owner, contractor, license, work duration, and scope details requested.
- 3
Review Work Details
Identify applicable work types and traffic control plan references on the form.
- 4
Sign And Submit
Sign and date the application, then submit it to the City of Azusa Engineering Division at the address listed on the form.
Frequently asked questions
- What is the Roll-Off Encroachment Permit Application for?
- It is an application for encroachment work, including roll-off bin placement and listed street, sidewalk, parkway, and alley work.
- What information does the application ask for?
- It asks for project and owner details, contractor and license information, work duration and start date, scope and quantity of work, and applicable traffic control plan references.
- How do I submit the Roll-Off Encroachment Permit Application?
- The form names the City of Azusa Engineering Division at 213 East Foothill Blvd., Azusa, CA 91702-1395.
- Do I need a notary for the Roll-Off Encroachment Permit Application?
- No. The applicant signs and dates this document without a notary, and it does not mention a notarized or sworn attachment.
Need something notarized?
This Roll-Off Encroachment Permit Application doesn’t need a notary — but if you have another Azusa form that does, a commissioned online notary can help.