Grover Beach, CA · San Luis Obispo County
Utility Abandonment/Disconnection Sign-Off Form
Property owners use this form to document utility sign-offs before a structure is demolished in Grover Beach.
What this form is
The form records the project address and proposed demolition date, and provides spaces for utility company representatives to acknowledge the planned demolition and meter or equipment removal or disconnection. The completed form must be submitted to the Community Development Department with the demolition permit application. It also asks for the property owner’s signature, printed name, phone number, and email.
Who needs it
Property owners seeking a demolition permit must submit this completed form with the application.
How to submit it
Submit the completed form with the demolition permit application to the Community Development Department, 154 South Eighth Street, Grover Beach, CA 93433.
About notarization
This document is signed without a notary; the property owner signs and dates the form, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download the Form
Download the Utility Abandonment/Disconnection Sign-Off Form.
- 2
Complete the Project Details
Enter the project address and proposed demolition date, then provide the property owner’s signature, date, printed name, phone number, and email.
- 3
Obtain Utility Sign-Offs
Have authorized representatives of the listed utility companies acknowledge the planned demolition and meter or equipment removal or disconnection.
- 4
Submit with the Permit Application
Submit the completed form with the demolition permit application to the Community Development Department.
Frequently asked questions
- What is the Utility Abandonment/Disconnection Sign-Off Form for?
- It documents utility company acknowledgments that meters or related service equipment will be removed or disconnected before the proposed demolition date.
- Who completes the utility sign-off form?
- The form requests the property owner’s project details and signature, along with acknowledgments from authorized representatives of the listed utility companies.
- Do I need a notary for the Utility Sign-Off Form?
- No. The property owner signs and dates this form without a notary; no notarized or sworn attachment is mentioned.
- How do I submit the Utility Sign-Off Form?
- Submit the completed form with the demolition permit application to the Community Development Department at 154 South Eighth Street, Grover Beach, CA 93433.
Need something notarized?
This Utility Abandonment/Disconnection Sign-Off Form doesn’t need a notary — but if you have another Grover Beach form that does, a commissioned online notary can help.