TEMPORARY USE PERMIT (Type 20 License) (St. Helena, California)

This is the official TEMPORARY USE PERMIT (Type 20 License) from City of St. Helena. You can fill it in its original layout in your browser or with an AI assistant, then download it to review, sign and submit to the agency.

Form details

Issuer

City of St. Helena

Jurisdiction

St. Helena, California

Type

Planning and zoning applications

Questions

35

Last mapping review

2026-10-04

Official blank PDF from City of St. Helena ↗

What this form asks

• Project name
• Project site address
• APN (Assessor's Parcel Number), part 1 of 3
• APN, part 2 of 3
• APN, part 3 of 3
• Additional APN (if more than one parcel), part 1 of 3
• Additional APN, part 2 of 3
• Additional APN, part 3 of 3
• Applicant name
• Applicant address
• Applicant city
• Applicant state
• Applicant ZIP code
• Applicant phone
• Applicant email
• Property owner name
• Property owner address
• Property owner city
• Property owner state
• Property owner ZIP code
• Property owner phone
• Property owner email
• Certification: "I, ____, hereby file this application for a development project and agree to pay any and all processing fees" (applicant's full name)
• Date signed by the applicant (date)
• Date signed by the property owner (date)
• Date signed by the second property owner (if any) (date)
• Processing fee: Temporary Use Permit ($500.00) (checkbox)
• Processing fee: Bond / Deposit (amount determined case by case) (checkbox)
• Submittal checklist: Application form (completed and endorsed by every property owner, including all parties holding a title interest) (checkbox)
• Submittal checklist: Written statement describing the proposed temporary use (days and hours, fencing/structures, exterior modifications, signs, parking, generators/equipment, compliance with Zoning Code 17.136.050) (checkbox)
• Submittal checklist: Bond or financial deposit (if required to ensure site cleanup) (checkbox)
• Submittal checklist: Lighting plan (preliminary plan for any additional exterior lighting, if required) (checkbox)
• Submittal checklist: Site plan (existing and proposed, fully dimensioned and scaled) (checkbox)
• Submittal checklist: Floor plan (scaled and fully dimensioned, existing and proposed) (checkbox)
• Submittal checklist: Site photos (topography, vegetation, existing/adjacent structures, views of the project) (checkbox)

Review, sign and submit

PaperPorter fills the form but does not submit it or approve anything. Signatures, initials and staff-only areas are left for the right person. Confirm current fees, attachments and filing instructions with City of St. Helena.

Planning and zoning applications in other places

• Planning & Zoning Commission supplemental questionnaire Albany
• ADU Amnesty Program Application Albany
• Address Change Request Form (for ADU's) Atherton
• Fence Variance Application Form Burlingame
• Variance Application Form Burlingame
• Special Permit General Application Form Burlingame
• Special Permit Application R-1 and R-2 Zoning Districts Burlingame
• Special Permit Application R-3 and R-4 Zoning Districts Burlingame

Frequently asked questions

Does PaperPorter submit this form?

No. You download the completed PDF, then review, sign and submit it to City of St. Helena yourself.

Can I fill it without an AI assistant?

Yes. Fill it in your browser and download the completed PDF. An assistant such as ChatGPT or Claude can also ask you the questions and fill it for you.