La Mesa, CA · San Diego County
Disclosure Statement
Applicants submit this disclosure statement with applications requiring discretionary action by the City Council, Planning Commission, or other city official bodies.
What this form is
The form discloses financial and property ownership interests connected to an application requiring discretionary city action. It asks for names of people and entities with interests, certain owners or representatives of corporations, partnerships, nonprofits, and trusts, and whether the applicant has conducted more than $250 in business with specified city personnel in the past twelve months. Additional pages may be attached as necessary.
Who needs it
Applicants for matters requiring discretionary action by the City Council, Planning Commission, or other city official bodies complete this ownership-interest disclosure.
How to submit it
Submit the form to the Community Development Department at 8130 Allison Avenue, La Mesa, CA 91942; the form also lists a phone number, fax number, and city website.
About notarization
This document is signed and dated without a notary; it allows additional pages as necessary but does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download the Form
Download the La Mesa Disclosure Statement PDF.
- 2
Complete the Disclosure
List the required financial and property interests, ownership details, and any qualifying business dealings with city personnel.
- 3
Gather Additional Pages
Attach additional pages as necessary to provide the requested information.
- 4
Sign and Submit
Sign and date the form, then submit it to the Community Development Department at the address shown.
Frequently asked questions
- What does the La Mesa Disclosure Statement disclose?
- It asks applicants to identify financial and property ownership interests related to an application and report qualifying business dealings with city personnel in the past twelve months.
- Who completes this disclosure statement?
- Applicants for applications requiring discretionary action by the City Council, Planning Commission, or other city official bodies complete the statement.
- Do I need a notary for the Disclosure Statement?
- No. The document is signed and dated without a notary. It allows additional pages as necessary and does not identify any attachment or related step that must be notarized or sworn.
- How do I submit the Disclosure Statement?
- Submit it to the Community Development Department at 8130 Allison Avenue, La Mesa, CA 91942. The form also lists the department’s phone number, fax number, and city website.