What is the Application for Revocable License used for?

It asks the City of Belvedere for a revocable license for private improvements that encroach on city property, and requests property, owner, and project details.

What should I attach to the application?

Attach a scale diagram showing the property line and encroachments. Follow the form’s plan guidelines for the diagram’s size, labels, and other details.

Do I need a notary for the Application for Revocable License?

No. The application is signed and dated without a notary. If the application is granted, the separate license agreement requires acknowledgment before a notary or the City Clerk.

How do I submit the Application for Revocable License?

The form does not state how to submit the application. Check the City of Belvedere website for current contact details.

Belvedere, CA · Marin County

No notary required

Application for Revocable License

Property owners or their representatives use this application to request permission for private improvements to encroach on City of Belvedere property.

What this form is

Use this application to ask the City of Belvedere for a revocable license when private improvements encroach, or are proposed to encroach, on city property. It requests the property and owner details, the type of city property involved, and a description and purpose of the encroachment. Attach a scale diagram that follows the plan guidelines; the application is reviewed by city staff and/or the Planning Commission.

Who needs it

A property owner or authorized representative seeking a revocable license for private improvements on City of Belvedere property needs this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; if granted, the separate revocable license agreement requires acknowledgment before a notary or the City Clerk.

How to submit this form

1
Download The Application
Download the Application for Revocable License PDF.
2
Complete The Application
Provide the property, owner or representative, and requested encroachment details; sign and date the application.
3
Prepare The Diagram
Attach a scale diagram showing the property line and encroachments, following the plan guidelines in the document.
4
Submit To The City
Check the City of Belvedere website for current contact details and how to submit the application.

Frequently asked questions

What is the Application for Revocable License used for?: It asks the City of Belvedere for a revocable license for private improvements that encroach on city property, and requests property, owner, and project details.
What should I attach to the application?: Attach a scale diagram showing the property line and encroachments. Follow the form’s plan guidelines for the diagram’s size, labels, and other details.
Do I need a notary for the Application for Revocable License?: No. The application is signed and dated without a notary. If the application is granted, the separate license agreement requires acknowledgment before a notary or the City Clerk.
How do I submit the Application for Revocable License?: The form does not state how to submit the application. Check the City of Belvedere website for current contact details.

Need something notarized?

This Application for Revocable License doesn’t need a notary — but if you have another Belvedere form that does, a commissioned online notary can help.