Victorville, CA · San Bernardino County
Right-of-Way Permit Requirements Acknowledgement
This acknowledgement records a permittee’s and contractor’s agreement to conditions for work in a City of Victorville public right-of-way.
What this form is
Use this acknowledgement with a request for a permit to work in the City of Victorville right-of-way. It sets out conditions concerning liability, construction standards, insurance, inspections, and permit validity, and provides signature and date lines for the permittee and contractor.
Who needs it
A permittee or contractor requesting permission to perform work in a City of Victorville public right-of-way should complete and sign this acknowledgement.
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; it has signature and date lines for the permittee and contractor, and describes no sworn attachment.
How to submit this form
- 1
Download the Acknowledgement
Download the right-of-way permit acknowledgement PDF.
- 2
Review the Requirements
Read the listed permit conditions, construction requirements, and inspection procedures.
- 3
Sign and Date the Form
The permittee and contractor sign and date their respective lines.
- 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 Right-of-Way Permit Requirements Acknowledgement?
- It records the permittee’s and contractor’s acknowledgement of conditions for work under a City of Victorville right-of-way permit.
- Who signs this acknowledgement?
- The form provides signature and date lines for both the permittee and the contractor.
- Do I need a notary for the Right-of-Way Permit Requirements Acknowledgement?
- No. The document has signature and date lines for the permittee and contractor, and describes no sworn attachment.
- How do I submit the acknowledgement?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Right-of-Way Permit Requirements Acknowledgement doesn’t need a notary — but if you have another Victorville form that does, a commissioned online notary can help.