Roseville, CA · Placer County
Ministerial Two-Lot Map Affidavit
Property owners complete this affidavit to acknowledge requirements for a ministerial two-lot map and submit it with their application to Roseville Development Services.
What this form is
Roseville requires property owners to complete this affidavit and submit it when applying for approval of a ministerial two-lot map. It asks the applicant to acknowledge subdivision and housing requirements, certify information under penalty of perjury, and provide a signature, date, and printed name. The affidavit also notes that applicable fees are the applicant’s responsibility.
Who needs it
Property owners applying for approval of a ministerial two-lot map in Roseville must complete and submit this affidavit with their application.
How to submit it
Submit it with the application to Development Services at 311 Vernon Street, Roseville, California 95678-2649. The form also lists an email address and phone numbers.
About notarization
This document is signed and dated without a notary; the owner signs under penalty of perjury, and no notarized attachment or related step is specified.
How to submit this form
- 1
Download the Affidavit
Download the Ministerial Two-Lot Map Affidavit for a Roseville application.
- 2
Complete the Form
Fill out the affidavit completely and provide the applicant's printed name, signature, and date.
- 3
Gather Application Materials
Prepare the application materials to submit with the affidavit.
- 4
Submit to Development Services
Submit the affidavit with the application to Development Services at 311 Vernon Street.
Frequently asked questions
- Do I need a notary for the Ministerial Two-Lot Map Affidavit?
- No. The owner signs and dates the affidavit under penalty of perjury; the form does not specify a notarized attachment or related step.
- How do I submit the Ministerial Two-Lot Map Affidavit?
- Submit the completed affidavit with your application to Development Services at 311 Vernon Street, Roseville, California 95678-2649. The form also lists an email address and phone numbers.
- Who completes the affidavit?
- The form says property owners must fill it out completely. The applicant acknowledges the listed requirements and signs and dates the affidavit.
- When is the affidavit due?
- The affidavit must be submitted at the time the application is submitted to Development Services.
Need something notarized?
This Ministerial Two-Lot Map Affidavit doesn’t need a notary — but if you have another Roseville form that does, a commissioned online notary can help.