Victorville, CA · San Bernardino County
Application for MDAQMD Clearance
This application requests air district clearance for a business facility seeking a building permit or certificate of occupancy, with residential projects exempt.
What this form is
The application requests Mojave Desert Air Quality Management District clearance for a business seeking a building permit or certificate of occupancy; residential projects are exempt. It asks for business and facility details and answers about air-emitting processes, proximity to schools, and hazardous air contaminants. If the facility is within 1,000 feet of a school and may emit hazardous contaminants, attach a substance list and plot plan.
Who needs it
Businesses seeking a building permit or certificate of occupancy may need this application; residential projects are exempt.
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 owner or authorized agent signs and dates a declaration under penalty of perjury.
How to submit this form
- 1
Download The Application
Download the MDAQMD clearance application PDF.
- 2
Complete The Application
Provide business and facility details, answer the questions, and identify whether you seek building permit or certificate of occupancy clearance.
- 3
Gather Required Attachments
If applicable, attach a list of substances used and a plot plan showing the distance to the nearest school.
- 4
Sign And Date
The owner or authorized agent signs and dates the declaration under penalty of perjury.
- 5
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
- Do I need a notary for the MDAQMD clearance application?
- No. The form has no notary block; the owner or authorized agent signs and dates a declaration under penalty of perjury.
- Who needs to complete this application?
- Businesses seeking clearance for a building permit or certificate of occupancy may need it. The form states that residential projects are exempt.
- What attachments may be required?
- If the facility is within 1,000 feet of a school and may emit hazardous air contaminants, the form asks for a list of substances and a plot plan showing the distance to the nearest school.
- How do I submit the MDAQMD clearance application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Application for MDAQMD Clearance doesn’t need a notary — but if you have another Victorville form that does, a commissioned online notary can help.