Roseville, CA · Placer County
Ministerial Ten-Lot Map Affidavit
Property owners complete this affidavit to certify requirements for a ministerial ten-lot map and submit it with their application to Roseville Development Services.
What this form is
This affidavit certifies that the property owner acknowledges and agrees to requirements for approval of a ministerial ten-lot map. Property owners must complete it and submit it to Development Services when they submit the application. It asks owners to certify information about the parcel, housing and proposed lots, and to sign and print their names.
Who needs it
Property owners applying for a ministerial ten-lot map in Roseville must complete and submit this affidavit with their application.
How to submit it
Submit the completed affidavit to Development Services at 311 Vernon Street, Roseville, California 95678-2649, at the time you submit the application. The form also lists [email protected].
About notarization
No notary is required; the property owner signs and dates the affidavit and certifies the information under penalty of perjury.
How to submit this form
- 1
Download the Affidavit
Download the Ministerial Ten-Lot Map Affidavit for your application.
- 2
Complete the Form
The property owner or owners must fill out the form completely and provide the requested signatures, dates, and printed names.
- 3
Gather Application Materials
Prepare the application materials referred to in the affidavit; the form does not list specific attachments.
- 4
Submit to Development Services
Submit the affidavit with the application to Development Services at 311 Vernon Street.
Frequently asked questions
- What does the Ministerial Ten-Lot Map Affidavit certify?
- It certifies that the property owner acknowledges and agrees to the listed requirements for approval of a ministerial ten-lot map.
- Who completes this affidavit?
- The form says it must be filled out completely by the property owner or owners and submitted with the application to Development Services.
- Do I need a notary for the Ministerial Ten-Lot Map Affidavit?
- No. The property owner signs and dates the affidavit and certifies the information under penalty of perjury; the form does not require notarization.
- How do I submit the Ministerial Ten-Lot Map Affidavit?
- Submit the completed affidavit to Development Services at 311 Vernon Street when you submit the application. The form also lists [email protected].
Need something notarized?
This Ministerial Ten-Lot Map Affidavit doesn’t need a notary — but if you have another Roseville form that does, a commissioned online notary can help.