Bellevue, WA · King County
Abatement Agreement Temporary Use Permit
This agreement is for applicants or owners of a Bellevue temporary use permit who authorize the city to remove the temporary use if it is not removed as required.
What this form is
The agreement identifies the applicant or owner and the temporary use permit location, and authorizes Bellevue to eliminate the temporary use and evidence of it if the permit’s terms are not met. The signer also agrees to reimburse the city for abatement expenses and certifies the statement under penalty of perjury.
Who needs it
An applicant or owner of a Bellevue temporary use permit uses this agreement to authorize abatement if the temporary use is not removed as required.
How to submit it
The form names Development Services but gives no submission address, email, or portal. Submit it to the city department named on the form; check the city website for current contact details.
About notarization
No notary is required; the applicant or owner signs and dates the form and certifies the statement under penalty of perjury.
How to submit this form
- 1
Download The Agreement
Download the Temporary Use Abatement Agreement PDF.
- 2
Complete The Form
Enter the applicant or owner name and permit location, then sign, print or type your name, identify the signing city, and date the form.
- 3
Review Supporting Materials
The agreement does not identify any attachments; review the temporary use permit terms referenced in the form.
- 4
Submit To The City
The form names Development Services but gives no submission method. Check the city website for current contact details.
Frequently asked questions
- What does the Temporary Use Abatement Agreement authorize?
- It authorizes Bellevue to eliminate the temporary use and evidence of that use if it has not been removed as required by the permit terms.
- Who signs this agreement?
- The applicant or owner of the temporary use permit signs, prints or types their name, identifies the city where they signed, and dates the form.
- Do I need a notary for the Temporary Use Abatement Agreement?
- No. The applicant or owner signs and dates the form and certifies the statement under penalty of perjury; no notary block or notarized attachment is included.
- How do I submit the Temporary Use Abatement Agreement?
- The form names Development Services but provides no submission address, email, or portal. Submit it to the department named on the form and check the city website for current contact details.
Need something notarized?
This Abatement Agreement Temporary Use Permit doesn’t need a notary — but if you have another Bellevue form that does, a commissioned online notary can help.