What does the Planning Acknowledgement Statement do?

It records the applicant’s and property owner’s acknowledgment of terms related to a development application and their certification that submitted information is accurate to the best of their knowledge.

Who signs the statement?

The applicant and property owner sign. A duly authorized individual may sign on behalf of an organization or other listed entity.

Campbell, CA · Santa Clara County

No notary required

Planning Acknowledgement Statement

Campbell development permit applicants and property owners sign this statement to acknowledge project-related terms and confirm that application information is accurate.

What this form is

This statement records the applicant’s and property owner’s acknowledgment of terms related to a development application, including electronic notices, public access to submitted materials, and application completeness. The applicant and property owner (or authorized signers) provide their names, signatures, and dates, and certify that the submitted information is true and correct to the best of their knowledge.

Who needs it

Applicants for development permits and the related property owners, or their authorized representatives, complete and sign the acknowledgments.

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 applicant and property owner or authorized signers sign and date their acknowledgments.

How to submit this form

1
Download The Statement
Download the Planning Acknowledgement Statement PDF.
2
Complete The Acknowledgments
Read the statements carefully and fill in the applicant and property owner names and applicable titles.
3
Sign And Date
The applicant and property owner, or authorized signers, sign and date their acknowledgments.
4
Submit To The City
Submit the statement to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What does the Planning Acknowledgement Statement do?: It records the applicant’s and property owner’s acknowledgment of terms related to a development application and their certification that submitted information is accurate to the best of their knowledge.
Who signs the statement?: The applicant and property owner sign. A duly authorized individual may sign on behalf of an organization or other listed entity.
Do I need a notary for the Planning Acknowledgement Statement?: No. This document is signed without a notary; the applicant and property owner or authorized signers sign and date their acknowledgments.
How do I submit the Planning Acknowledgement Statement?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Planning Acknowledgement Statement doesn’t need a notary — but if you have another Campbell form that does, a commissioned online notary can help.