Canyon Lake, CA · Riverside County
Release and Hold Harmless Statement
Property owners accepting the City of Canyon Lake’s permit-ready accessory dwelling unit plans use this statement to acknowledge conditions and release the City from claims.
What this form is
The property owner completes this statement when accepting the City’s permit-ready accessory dwelling unit construction documents. It requests property and owner details, identifies the plan type and application number, and records the owner’s acknowledgment of conditions, printed name, signature, and date.
Who needs it
A property owner accepting the City of Canyon Lake’s permit-ready accessory dwelling unit construction documents completes and signs this statement.
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 statement is signed without a notary; the property owner prints a name, signs, and dates it.
How to submit this form
- 1
Download the Statement
Download the Release and Hold Harmless Statement PDF.
- 2
Complete the Property Details
Enter the property address, APN, plan type, application number, and property owner’s contact information.
- 3
Sign and Date
Print the property owner’s name, sign the statement, and add the date.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What is the Release and Hold Harmless Statement for?
- It records a property owner’s acceptance of conditions for using the City’s permit-ready accessory dwelling unit construction documents.
- What information does the statement request?
- It requests the property address, APN, plan type, application number, and property owner’s name, phone number, and email, plus a printed name, signature, and date.
- Do I need a notary for the Release and Hold Harmless Statement?
- No. The property owner prints a name, signs, and dates the statement; it does not identify a notarized attachment or related step.
- How do I submit the Release and Hold Harmless Statement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Release and Hold Harmless Statement doesn’t need a notary — but if you have another Canyon Lake form that does, a commissioned online notary can help.