Siskiyou County, CA · Siskiyou County
Encroachment Permit Application
This application requests permission from Siskiyou County Public Works to excavate, construct, or otherwise encroach on a county road right-of-way.
At a glance
- Issued by
- City of Siskiyou County · Siskiyou County, Siskiyou County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- siskiyoucounty.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request permission before doing work that excavates, constructs, or otherwise encroaches on a county road right-of-way; the application alone does not authorize work to begin. It asks for the proposed work, location and dates, and contractor and applicant details, and includes general provisions for permittees.
Who needs it
A resident, business, or contractor proposing work that encroaches on a Siskiyou County road right-of-way needs to apply.
How to submit it
Send the application to Siskiyou County Department of Public Works, 1312 Fairlane Road / PO Box 1127, Yreka, CA 96097, or email [email protected].
About notarization
This application is signed without a notary; the applicant and contractor sign, and the applicant dates the application.
How to submit this form
- 1
Download the Application
Download the Encroachment Permit Application PDF.
- 2
Complete the Application
Describe the proposed work, its location and dates, and provide the applicant and contractor details requested.
- 3
Gather Plans if Available
Submit detailed plans if available; the document says they must be submitted if requested by the Public Works Director or representative.
- 4
Submit to Public Works
Send the application to the Public Works address or email listed on the form. Do not begin work until a permit is issued.
Frequently asked questions
- Do I need a notary for the Encroachment Permit Application?
- No. This application is signed without a notary; the applicant and contractor sign, and the applicant dates the application.
- How do I submit the Encroachment Permit Application?
- Send it to Siskiyou County Department of Public Works at 1312 Fairlane Road / PO Box 1127, Yreka, CA 96097, or email it to [email protected].
- Does this application let me start work?
- No. The document states that it is an application only and that work must not start until a permit is issued.