Dunsmuir, CA · Siskiyou County

No notary required

Land Use Application

Dunsmuir’s Land Use Application lets applicants request land use permits, map actions, and other listed approvals for a property or project.

What this form is

Use this application to request one or more listed land use actions, including permits, maps, variances, amendments, annexation, and other specified requests. It asks for project and property details, applicant and owner contact information, authorization, and agreement to pay fees. The packet also includes a Levine Act disclosure statement for applicable contributions to City officers.

Who needs it

Applicants seeking a listed land use action in Dunsmuir should complete the application with property owner authorization and the required disclosure information.

How to submit it

The Levine Act disclosure must be submitted to the City Clerk Department when the proceeding is initiated, at 5915 Dunsmuir Avenue or [email protected]. Submit the application 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; it includes certifications under penalty of perjury in the fee agreement and Levine Act disclosure statement.

How to submit this form

  1. 1

    Download The Application

    Download the Land Use Application and review the listed requests and form instructions.

  2. 2

    Complete The Form

    Provide project, property, applicant, owner, and representative information, then complete the authorization and fee agreement sections.

  3. 3

    Complete The Disclosure

    Complete the Levine Act disclosure statement and identify applicable contributions to City officers.

  4. 4

    Submit To The City

    Submit the disclosure to the City Clerk Department when the proceeding begins; check the city website for current application submission details.

Frequently asked questions

What can I request with the Land Use Application?
The form lists requests such as permits, tentative parcel or subdivision maps, a variance, plan or zoning amendments, annexation, and other specified applications.
What information does the application ask for?
It asks for the project description, property and land use details, applicant and owner contact information, authorization, fee agreement information, and Levine Act contribution disclosures.
Do I need a notary for the Land Use Application?
No. This document is signed without a notary, but it includes certifications under penalty of perjury in the fee agreement and Levine Act disclosure statement.
How do I submit the Land Use Application?
The form gives the City Clerk Department’s address and email for the Levine Act disclosure, which it says to submit when the proceeding begins. For the application, check the city website for current contact details.

Need something notarized?

This Land Use Application doesn’t need a notary — but if you have another Dunsmuir form that does, a commissioned online notary can help.