Gilroy, CA · Santa Clara County
Public Notice Affidavit
Property owners or their agents use this affidavit to certify that attached lists identify nearby property owners for a project.
What this form is
This affidavit certifies that attached lists contain the names and addresses of property owners within 500 feet of a project property, as shown on the latest available Santa Clara County assessment roll. The signer certifies under penalty of perjury that the information is true and correct. The form requests the signer’s role, title, company, address, phone number, date, and permit number.
Who needs it
A property owner, agent, or other signer completing a public notice affidavit for a project needs this form and the attached property-owner lists.
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 signer certifies under penalty of perjury that the attached property-owner lists are true and correct.
How to submit this form
- 1
Download The Affidavit
Download the Public Notice Affidavit PDF.
- 2
Complete The Form
Enter the signer’s name and contact information, select a role, and provide the title, company, date, and permit number.
- 3
Attach Property-Owner Lists
Attach lists of property owners within 500 feet of the project property, based on the latest available Santa Clara County assessment roll.
- 4
Submit To The City
Submit the completed affidavit and attached lists to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Public Notice Affidavit certify?
- The signer certifies that attached lists contain names and addresses of all property owners within 500 feet of the project property, according to the latest available Santa Clara County assessment roll.
- Who completes this affidavit?
- The signer identifies as an agent, owner, or other person and provides contact, company, title, date, and permit information.
- Do I need a notary for the Public Notice Affidavit?
- No. The document is signed without a notary. The signer certifies under penalty of perjury that the attached property-owner lists are true and correct.
- How do I submit the Public Notice Affidavit?
- Submit it to the city department named on the form; check the city website for current contact details.