What is the ADU Hold Harmless Agreement for?

It lets applicants and owners request Lodi’s pre-approved accessory dwelling unit construction plans and acknowledge the terms for using them.

Who signs the agreement?

The form includes spaces for the applicant’s name, signature, and date, as well as the owner’s name, signature, and date.

Do I need a notary for this agreement?

No. This agreement is signed and dated without a notary, and it lists no notarized or sworn attachment.

How do I submit the agreement?

Submit it to the Community Development Department at 221 W. Pine Street, Lodi, CA 95241. The form lists (209) 333-6711 for questions.

Lodi, CA · San Joaquin County

No notary required

Accessory Dwelling Unit Pre-Approved Plans Hold Harmless Agreement

This agreement is for applicants and owners requesting to use Lodi’s pre-approved construction plans for an accessory dwelling unit.

What this form is

Applicants and owners use this agreement to request Lodi’s pre-approved construction plans for an accessory dwelling unit and accept responsibility for risks arising from their use. It asks for project and contact details, the ADU plan type, and applicant and owner signatures and dates. It also addresses plan modifications and possible additional fees.

Who needs it

Applicants and owners requesting to use Lodi’s pre-approved ADU plans should complete and sign this agreement.

How to submit it

Submit the signed agreement to the Community Development Department, 221 W. Pine Street, Lodi, CA 95241; the form lists (209) 333-6711 for questions.

About notarization

This agreement is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant and owner sign and date it.

How to submit this form

1
Download The Agreement
Download the Accessory Dwelling Unit Pre-Approved Plans Hold Harmless Agreement.
2
Complete Project Details
Enter the project address, applicant and owner details, contact information, and pre-approved ADU plan type.
3
Sign And Date
The applicant and owner sign and date the agreement.
4
Submit To The City
Submit the signed agreement to the Community Development Department at 221 W. Pine Street, Lodi, CA 95241.

Frequently asked questions

What is the ADU Hold Harmless Agreement for?: It lets applicants and owners request Lodi’s pre-approved accessory dwelling unit construction plans and acknowledge the terms for using them.
Who signs the agreement?: The form includes spaces for the applicant’s name, signature, and date, as well as the owner’s name, signature, and date.
Do I need a notary for this agreement?: No. This agreement is signed and dated without a notary, and it lists no notarized or sworn attachment.
How do I submit the agreement?: Submit it to the Community Development Department at 221 W. Pine Street, Lodi, CA 95241. The form lists (209) 333-6711 for questions.

Need something notarized?

This Accessory Dwelling Unit Pre-Approved Plans Hold Harmless Agreement doesn’t need a notary — but if you have another Lodi form that does, a commissioned online notary can help.