Do I need a notary for the Permit Cancellation and Request for Refund form?

No. The form asks the signer to sign and date it, and mentions no notarized or sworn attachment.

How do I submit the Permit Cancellation and Request for Refund form?

Submit the completed request to the City of Los Altos Building Division. The form does not provide a mailing address or other submission instructions.

Who must file a refund request, and when?

The form says the written refund application must be filed by the original permittee no later than 180 days after the fee payment date.

Los Altos, CA · Santa Clara County

No notary required

Permit Cancellation and Request for Refund

Building permit holders use this form to request cancellation of a permit or application and seek an eligible fee refund from the City of Los Altos.

What this form is

The form lets the original permittee authorize cancellation of a building permit or application and request a refund of eligible fees. The document says a written refund application must be filed by the original permittee within 180 days after fee payment; refund eligibility depends on the circumstances described in the form. It asks for the project address, permit number, issue date, refund mailing address, cancellation reason, signature, and date.

Who needs it

The original permittee who wants to cancel a building permit or application and request a refund of eligible fees should complete this form.

How to submit it

Submit the completed request to the City of Los Altos Building Division; the form gives no mailing address or other submission instructions.

About notarization

This form is signed without a notary; it asks the signer to sign and date, and mentions no notarized or sworn attachment.

How to submit this form

1
Download the Form
Download the Permit Cancellation and Request for Refund form.
2
Complete the Project Details
Enter the project address, permit number, issue date, refund mailing address, and reason for cancellation.
3
Sign and Date
The original permittee should sign and date the request.
4
Submit to the City
Submit the completed request to the City of Los Altos Building Division.

Frequently asked questions

What does the Permit Cancellation and Request for Refund form do?: It lets the original permittee authorize cancellation of a building permit or application and request a refund of eligible fees.
Do I need a notary for the Permit Cancellation and Request for Refund form?: No. The form asks the signer to sign and date it, and mentions no notarized or sworn attachment.
How do I submit the Permit Cancellation and Request for Refund form?: Submit the completed request to the City of Los Altos Building Division. The form does not provide a mailing address or other submission instructions.
Who must file a refund request, and when?: The form says the written refund application must be filed by the original permittee no later than 180 days after the fee payment date.

Need something notarized?

This Permit Cancellation and Request for Refund doesn’t need a notary — but if you have another Los Altos form that does, a commissioned online notary can help.