Los Banos, CA · Merced County

No notary required

Encroachment Permit Application

Property owners and contractors use this application to request a Los Banos permit for work such as sidewalk replacement, driveway approaches, or trenching.

What this form is

The application requests approval from the Los Banos Public Works Department for an encroachment job at a specified address. It asks for job details, property and applicant information, and contractor license details, along with applicable declarations about licensing and workers’ compensation. Applicants must plot the job location and identifying streets and provide an email address for the permit fee invoice.

Who needs it

Property owners or contractors planning sidewalk, driveway approach, trenching, or other encroachment work in Los Banos can use this application.

How to submit it

Submit the application to Public Works at 411 Madison Ave., Los Banos, CA 93635, or email it to [email protected]. Include the recipient’s email for the permit fee invoice and plot the job location and identifying streets.

About notarization

This application is signed without a notary; its contractor and workers’ compensation declarations include statements under penalty of perjury, but no notarized attachment is specified.

How to submit this form

  1. 1

    Download The Application

    Download the Los Banos Encroachment Permit Application PDF.

  2. 2

    Complete The Application

    Enter the job, property, applicant, and contractor information, and complete the applicable declarations.

  3. 3

    Plot The Job Location

    Include a plot showing the job location and identifying streets, and provide an email address for the permit fee invoice.

  4. 4

    Submit To Public Works

    Submit the application to Public Works at 411 Madison Ave. or email [email protected].

Frequently asked questions

What is the Los Banos Encroachment Permit Application for?
It requests Public Works approval for encroachment work, including sidewalk replacement, driveway approaches, trenching, or other work at a Los Banos job address.
Who can use this application?
Property owners and contractors can provide job, property, and applicant details. The form also includes contractor licensing, owner-builder, and workers’ compensation declarations.
How do I submit the Encroachment Permit Application?
Submit it to Public Works at 411 Madison Ave., Los Banos, CA 93635, or email [email protected]. Include the recipient’s email for the permit fee invoice.
Do I need a notary for the Encroachment Permit Application?
No. The application is signed without a notary. It includes declarations under penalty of perjury, but does not specify a notarized attachment.

Need something notarized?

This Encroachment Permit Application doesn’t need a notary — but if you have another Los Banos form that does, a commissioned online notary can help.