Do I need a notary for the Urban Lot Split Eligibility Checklist?

No. The document has no notary block; the applicant signs and dates the affidavit, affirming its statements under penalty of perjury.

Who uses the Urban Lot Split Eligibility Checklist?

Applicants seeking a parcel map for an urban lot split use it to provide project information and review the listed eligibility criteria.

What information does the checklist ask for?

It asks for applicant and property details, information about eligibility criteria, signatures, and an affidavit of intent to occupy a unit as a principal residence for at least three years.

San Anselmo, CA · Marin County

No notary required

Senate Bill 9 Eligibility Checklist: Urban Lot Splits

Property owners and applicants use this fillable checklist and affidavit to provide information and assess whether an urban lot split project may qualify for processing.

What this form is

This checklist helps applicants and the Town’s Community Development Department assess whether an urban lot split project meets the listed eligibility criteria. It asks for applicant and property details, project eligibility information, signatures, and an affidavit stating the applicant’s intent to occupy a unit as a principal residence for at least three years. The form also includes space for Town staff review.

Who needs it

Property owners or applicants seeking a parcel map for an urban lot split in San Anselmo should complete the checklist and occupancy affidavit.

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 document is signed without a notary; the applicant signs the affidavit under penalty of perjury and dates it.

How to submit this form

1
Download The Checklist
Download the fillable Urban Lot Split Eligibility Checklist PDF.
2
Complete The Form
Enter the applicant and property details and review the eligibility criteria.
3
Complete The Affidavit
Sign and date the affidavit affirming intent to occupy a unit as a principal residence for at least three years.
4
Submit To The City
Submit the completed document to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Urban Lot Split Eligibility Checklist?: No. The document has no notary block; the applicant signs and dates the affidavit, affirming its statements under penalty of perjury.
Who uses the Urban Lot Split Eligibility Checklist?: Applicants seeking a parcel map for an urban lot split use it to provide project information and review the listed eligibility criteria.
What information does the checklist ask for?: It asks for applicant and property details, information about eligibility criteria, signatures, and an affidavit of intent to occupy a unit as a principal residence for at least three years.
How do I submit the Urban Lot Split Eligibility Checklist?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Senate Bill 9 Eligibility Checklist: Urban Lot Splits doesn’t need a notary — but if you have another San Anselmo form that does, a commissioned online notary can help.