City of San Rafael

   Fill out this form to begin the permit application.

• The information will be used to determine the type of permit and required submittals.. 
• You can also call us at (415) 485-3355 to make an appointment with an engineer

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Location of the encroachment. Be as specific as possible . Description of project: Be specific and detailed Name: This is the name of Property owner Contractor Daytime Phone Number Email  Enter a valid email address. Example: name@company.com Encroachment is: Temporary Permanent Purpose of Permit CONSTRUCTION STAGING STREET CUT SEWER REPAIR EXCAVATION BICYCLE OR NEWSPAPER RACK RETAINING WALL OR FENCE TREE TRIMMING DEBRIS BOX SIDEWALK DINING AWNING OR SIGN LANDSCAPING OTHER (DESCRIBE BELOW) Other: