Modesto, CA · Stanislaus County
Use, Dispensing, and Storage of LPG Permit Application
Businesses apply to the Modesto Fire Department for a permit to use, dispense, or store liquefied petroleum gas (LPG) at a listed location.
What this form is
This application is for a business seeking a permit for the use, dispensing, or storage of LPG. It asks for business and owner contact details, the LPG location, container capacities and contents, and how each container will be used. Applicants must also provide a site diagram labeling containers holding more than 500 gallons and certify that the information is correct and the activity will comply with applicable regulations.
Who needs it
A business seeking a permit to use, dispense, or store LPG should complete the application with its business, owner, location, and container information.
How to submit it
Submit the application to the Modesto Fire Department Fire Prevention Division at 409 12th Street, Modesto, California 95354, or fax it to (209) 544-1652.
About notarization
This application is signed and dated without a notary; it lists no notarized attachment or sworn step.
How to submit this form
- 1
Download the Application
Download the LPG permit application PDF.
- 2
Complete the Application
Enter the business, owner, phone, LPG location, container, and intended-use information.
- 3
Prepare the Site Diagram
Label on a site diagram the location of each container holding more than 500 gallons.
- 4
Sign and Date
Certify the information and compliance statement, then provide the applicant’s signature, printed name, position, and date.
- 5
Submit to the City
Send the application to the Fire Prevention Division address on the form or fax it to the listed number.
Frequently asked questions
- Do I need a notary for the LPG permit application?
- No. The application has a signature and date field but no notary block; it lists no notarized attachment or sworn step.
- Who uses the LPG permit application?
- A business seeking a permit to use, dispense, or store LPG completes the application with business, owner, site, and container details.
- What information does the application request?
- It requests business and owner information, the LPG address, container capacity and contents, and each container’s intended use. A site diagram must label containers holding more than 500 gallons.
- How do I submit the LPG permit application?
- Submit it to the Modesto Fire Department Fire Prevention Division at 409 12th Street, Modesto, California 95354, or fax it to (209) 544-1652.
Need something notarized?
This Use, Dispensing, and Storage of LPG Permit Application doesn’t need a notary — but if you have another Modesto form that does, a commissioned online notary can help.