Tulelake, CA · Siskiyou County

No notary required

Application for Encroachment Permit

This application is for anyone seeking permission to excavate, construct, or perform other work in a City of Tulelake street right of way.

What this form is

The application requests permission to excavate, construct, or otherwise encroach on a City street right of way. It asks for a description of the work, its street location, the required completion date, applicant and contractor information, and a sketch or attached plans; the applicant agrees to follow City rules and accept City inspection and approval.

Who needs it

Anyone proposing excavation, construction, or other work in a City of Tulelake street right of way should complete this application.

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 application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant or authorized agent just signs and dates it.

How to submit this form

  1. 1

    Download the Application

    Download the Application for Encroachment Permit PDF.

  2. 2

    Complete the Form

    Describe the proposed work and location, provide the completion date and requested applicant and contractor information, and sign and date the form.

  3. 3

    Add a Sketch or Plans

    Sketch details on the form or attach detailed plans.

  4. 4

    Submit to the City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What work does the Tulelake encroachment permit application cover?
It requests permission to excavate, construct, or otherwise encroach on a City street right of way, and asks applicants to describe the proposed work.
What information does the application request?
The form asks for the work description and location, required completion date, applicant and contractor information, and a sketch or detailed plans.
Do I need a notary for the Tulelake encroachment permit application?
No. This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant or authorized agent just signs and dates it.
How do I submit the Tulelake encroachment permit application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for Encroachment Permit doesn’t need a notary — but if you have another Tulelake form that does, a commissioned online notary can help.