Yreka, CA · Siskiyou County
Encroachment Permit Application
This application is for anyone seeking permission from the City of Yreka to excavate, construct, or perform other work in a city street right of way.
What this form is
Use this application to request permission to excavate, construct, or otherwise encroach within a City of Yreka street right of way. It asks for the work description, completion date, street location, contractor’s license number, and applicant contact details and signature. The application includes permit conditions covering matters such as inspections, traffic protection, cleanup, and responsibility for damages.
Who needs it
A person or contractor planning excavation, construction, or other work within a City of Yreka street right of way needs to apply.
How to submit it
Submit the application to the City of Yreka Public Works Department at 701 Fourth Street, Yreka, CA 96097. The form includes spaces for permit staff to record a deposit paid.
About notarization
This document is signed without a notary; the applicant or authorized agent just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the City of Yreka Encroachment Permit Application PDF.
- 2
Complete The Application
Describe the work, provide its location and completion date, and fill in the applicant and contractor details requested.
- 3
Sign And Date
Have the applicant or authorized agent sign and date the application.
- 4
Submit To The City
Submit the application to the Public Works Department at 701 Fourth Street, Yreka, CA 96097.
Frequently asked questions
- What work does this encroachment permit application cover?
- It requests permission to excavate, construct, or otherwise encroach on a City of Yreka street right of way.
- What information does the application ask for?
- It asks for a work description, completion date, street location, contractor’s license number, and applicant name, address, phone number, and signature.
- Do I need a notary for the Encroachment Permit Application?
- No. The applicant or authorized agent signs and dates this application without a notary.
- How do I submit the Encroachment Permit Application?
- Submit it to the City of Yreka Public Works Department at 701 Fourth Street, Yreka, CA 96097.
Need something notarized?
This Encroachment Permit Application doesn’t need a notary — but if you have another Yreka form that does, a commissioned online notary can help.