Shasta Lake, CA · Shasta County

No notary required

Home Occupation Affidavit

This affidavit records an applicant’s agreement to comply with home occupation permit conditions in Shasta Lake.

What this form is

Applicants for a Shasta Lake home occupation permit use this affidavit to agree to comply with the permit conditions established by Development Services. It lists requirements for where the business may operate, floor space, residents involved, customer trips, and operating times. The form asks for a business license number, home occupation permit number, property address, applicant signature, and date.

Who needs it

Residents applying for a Shasta Lake home occupation permit should complete this affidavit and agree to the listed permit conditions.

How to submit it

The form lists City of Shasta Lake Development Services at 4477 Main Street, Shasta Lake, and [email protected]. It also provides the department phone number, (530) 275-7430.

About notarization

This document is signed without a notary; the applicant just signs and dates it, and the form mentions no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Affidavit

    Download the Home Occupation Affidavit PDF.

  2. 2

    Complete The Form

    Enter the business license number, home occupation permit number, and property address; then sign and date the affidavit.

  3. 3

    Review The Conditions

    Read the listed home occupation conditions, including rules for the business location, floor space, customer trips, and hours.

  4. 4

    Submit To Development Services

    Use the Development Services contact information listed on the form: 4477 Main Street, Shasta Lake, or [email protected].

Frequently asked questions

What is the Home Occupation Affidavit for?
It records an applicant’s agreement to follow Shasta Lake home occupation permit conditions, including rules for business location, floor space, customer trips, and operating times.
What information does the affidavit request?
The form has spaces for a business license number, home occupation permit number, property address, applicant signature, and date.
Do I need a notary for the Home Occupation Affidavit?
No. The document is signed without a notary; the applicant signs and dates it, and the form mentions no notarized or sworn attachment.
How do I submit the Home Occupation Affidavit?
The form lists Development Services at 4477 Main Street, Shasta Lake, and [email protected]. It also lists (530) 275-7430.

Need something notarized?

This Home Occupation Affidavit doesn’t need a notary — but if you have another Shasta Lake form that does, a commissioned online notary can help.