Dixon, CA · Solano County

No notary required

Moratorium Street Cut Waiver Request

Dixon applicants use this request to seek approval to excavate a street during a moratorium and explain why the work cannot be deferred or completed elsewhere.

What this form is

This form requests a waiver to excavate a street during a moratorium. Applicants provide the permit number, contact information, excavation location, work description, and reasons the work cannot wait or take place elsewhere; they also address feasible trenchless alternatives and select a justification. The city records approval or denial, and granting a waiver does not remove the applicant’s responsibility for restorative work.

Who needs it

Applicants seeking permission to excavate a Dixon street during a moratorium use this form to explain and justify the requested work.

How to submit it

Contact Dixon Engineering at 600 E. A St., Dixon, CA 95620, by phone at (707) 768-7030, or by email at [email protected].

About notarization

This request is signed and dated without a notary; it lists no sworn statement or notarized attachment, so the applicant simply signs and dates it.

How to submit this form

  1. 1

    Download The Request

    Download the Moratorium Street Cut Waiver Request form.

  2. 2

    Complete The Form

    Enter the permit and contact details, describe the excavation, explain why it cannot wait or occur elsewhere, and address trenchless alternatives.

  3. 3

    Sign And Date

    Sign and date the request. The form does not list any attachments.

  4. 4

    Contact Dixon Engineering

    Contact Dixon Engineering using the address, phone number, or email listed on the form.

Frequently asked questions

What is the Moratorium Street Cut Waiver Request?
It asks Dixon to approve excavation of a moratorium street and collects the work location, description, reasons the work cannot wait or occur elsewhere, and the applicant’s trenchless-alternative analysis.
Who should complete this request?
An applicant seeking to excavate a street during a moratorium should complete the form and provide the permit number, contact details, work information, and a justification.
Do I need a notary for the Moratorium Street Cut Waiver Request?
No. The request is signed and dated without a notary, and the form lists no sworn statement or notarized attachment.
How do I submit the Moratorium Street Cut Waiver Request?
Contact Dixon Engineering at 600 E. A St., Dixon, CA 95620, by phone at (707) 768-7030, or by email at [email protected].

Need something notarized?

This Moratorium Street Cut Waiver Request doesn’t need a notary — but if you have another Dixon form that does, a commissioned online notary can help.