What if I enter the wrong ordinance number?

If the ordinance number is incorrect staff may reject the submission or apply the wrong regulation; correct and resubmit the form promptly with a clear amendment or replacement document.

Can the form be signed electronically?

Yes; electronic signatures are valid under the ESIGN Act and most state UETA laws when intent, consent, attribution, and retention are documented; confirm whether notarization or RON is additionally required.

Is notarization always required?

Notarization depends on local rules and the document type; many municipalities accept eSignatures for administrative selections but require notarization for deeds or certain legal instruments.

How do I verify signer authority?

Collect supporting documentation showing delegated authority (council resolution, power of attorney, corporate authorization) and attach it to the submitted form.

What records should be retained?

Keep the signed form, audit trail or notary evidence, and any supporting attachments for the retention period that applies to the record type and jurisdiction.

Who do I contact about processing delays?

Contact the issuing municipal department listed on the form; include form reference, submission date, and any transaction or permit numbers to expedite status checks.

Electronic Signature
Templates
Miscellaneous
Local Ordinance Selection Form

Local Ordinance Selection Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Local Ordinance Selection Form

Parties and Project Identification

Municipality Name:

Applicant Name:

Project Name / Description Project Address Parcel / APN

WHEREAS

WHEREAS, Municipality Name is authorized to enforce local ordinances applicable to development, land use, public safety, and environmental protection within its jurisdiction; and

WHEREAS, Applicant desires to perform the Project described above and acknowledges that certain local ordinances may apply to the Project and impose regulatory obligations, permits, fees, or mitigation measures; and

WHEREAS, the parties desire to identify which municipal ordinances are asserted by Municipality Name to be potentially applicable to the Project and to record Applicant's selection and agreement to comply with those applicable provisions as set forth in this form and agreement.

Ordinance Selection

The Applicant indicates which of the following local ordinances are applicable to the Project. Selection is made by checking the boxes that the Applicant believes apply. Checking an item constitutes Applicant's acknowledgement that compliance with the checked ordinance is required unless formally waived in writing by Municipality Name.

Select Applicable Ordinances Zoning Code / Land Use Regulations Building Code / Construction Standards Noise Control Ordinance Signage and Advertising Ordinance Parking and Access Requirements Stormwater / Drainage Ordinance Tree Protection / Landscaping Ordinance Historic Preservation / Design Review Ordinance Fire Safety and Emergency Access Ordinance Other (describe below)

If Other, describe ordinance and citation

Scope of Work

The Applicant shall perform the work described below in conformity with all applicable ordinances selected above and any permit conditions issued by Municipality Name. Applicant acknowledges that additional permit approvals may be required and that this form does not constitute a permit.

Payment Terms

Applicant agrees to pay fees, deposits, and any mitigation costs required by Municipality Name in connection with the review and enforcement of the applicable ordinances. Fees will be invoiced pursuant to the schedule below.

Total Estimated Fees Payment Schedule / Milestones

Late Fee: Applicant shall pay interest on overdue amounts at the lesser of 1.5% per month or the maximum rate permitted by law. Late fee percentage:

Invoices are due within days of issuance. Failure to timely pay may result in stop-work orders, withholding of permits, or other enforcement actions permitted by law.

Term and Termination

This Agreement becomes effective on the Start Date and continues until the End Date or until earlier terminated as provided herein. Start Date: ; End Date:

Either party may terminate this Agreement for convenience upon written notice to the other party delivered at least days prior to the effective termination date. Municipality Name may suspend or terminate obligations immediately for material noncompliance by Applicant, including failure to obtain required permits or pay required fees.

Confidentiality

To the extent permitted by law, the parties agree that information designated in writing as confidential and clearly identified as such shall be held in confidence and shall not be disclosed to third parties without prior written consent of the disclosing party. Notwithstanding the foregoing, the Municipality is subject to public records law and may be required to disclose records in accordance with applicable law; in such event, Municipality Name shall provide notice to Applicant when permitted by law and will attempt to protect legitimately confidential commercial information where authorized.

Representations and Warranties

Applicant represents and warrants that it has the authority to execute this form, that the information provided is true and correct to the best of Applicant's knowledge, and that Applicant will comply with all applicable selected ordinances, permit conditions, and applicable law.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the jurisdiction in which Municipality Name is located. Governing jurisdiction:

Entire Agreement

This document, together with any attachments, payment schedules, and permit conditions issued by Municipality Name, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, representations, or agreements, whether written or oral. Any amendment must be in writing and signed by both parties.

Notices and Contact Information

Applicant Contact Name Applicant Contact Phone Applicant Contact Email Municipality Contact Name Municipality Contact Phone Municipality Contact Email

Certifications and Acknowledgements

By checking the box and signing below, Applicant certifies that the information provided herein is true and correct, that Applicant has made a good-faith selection of applicable ordinances, and that Applicant will comply with all selected ordinances and permit conditions relevant to the Project.

I certify the above statements and selections are true and accurate.

Applicant:

By:

Date:

Municipality:

By:

Date:

What the Local Ordinance Selection Form Is

The Local Ordinance Selection Form is a procedural document used to record a jurisdictional choice, apply a specific local ordinance to a property or project, and notify affected parties of regulatory treatment. It typically identifies the ordinance by number and title, specifies the geographic or parcel scope, records the effective date, and documents signatures from authorized officials or applicants to establish the selected rule for permitting, zoning, tax, or code enforcement purposes.

Why completing a clear selection form matters

A properly completed Local Ordinance Selection Form creates a traceable record of which local regulation governs a transaction or property, reduces disputes about applicable rules, and supports administrative review and enforcement.

Who commonly completes and signs this form

Municipal officials, permitting staff, zoning consultants, and property owners commonly prepare or request this form before approvals or inspections.

Municipal Planning Departments — prepare and record selections for permits and zoning decisions; maintain official copies.
Developers & Contractors — document which local code applies to a project to meet permitting prerequisites and inspections.
Property Owners & Agents — sign to accept ordinance terms or to request application of a specific local provision.

In many workflows multiple parties sign in sequence; ensure the person with delegated authority signs to avoid later rework.

Step-by-step: completing the Local Ordinance Selection Form

Follow these core steps to complete the form accurately and avoid processing delays.

01

Identify Ordinance: Enter ordinance number and official title as published.
02

Define Scope: Specify parcel, address, or project limits clearly.
03

Select Effective Date: Use MM/DD/YYYY format for the effective or proposed date.
04

Authorized Signature: Have the designated official or owner sign and date.

Configuring an online completion workflow

When digitizing this form, configure fields and authentication to match your municipality's evidence and audit requirements.

Field	Configuration
Ordinance fields	Make ordinance number and title required fields.
Date fields	Set MM/DD/YYYY mask and validation rules.
Geolocation data	Optional GPS or map link to verify parcel location.
Signer authentication	Require email or SMS verification per policy.

Digital signing and technical requirements

Ensure your platform supports e-sign evidence, secure storage, and the authentication level your jurisdiction requires.

Document formats: PDF and Word DOCX supported.
Authentication options: Email, SMS code, or KBA.
Audit trail: Capture IP, timestamp, and actions.

Integrations with case management, GIS, and records systems reduce manual entry; verify encryption in transit (TLS 1.2/1.3) and at rest (AES-256) to meet local data policies.

Where to send or file the completed form

Routing depends on local process; use the steps below as a typical path in municipal workflows.

Submit to Permit Office: Attach to permit application or case file.
Record with Planning: Provide official copy for zoning records.
Notify Affected Parties: Send copies to owners or HOAs as required.
Store in Records: Archive signed PDF in municipal record system.

Common eSignature vendors and key pricing features

Comparing typical vendor pricing and capabilities helps decide which eSignature plan fits a municipal workflow; signNow is listed first per standard comparison format.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Yes	Yes	Yes	Yes	Yes
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Essential data fields to collect

Ordinance ID: Number and title

Jurisdiction: City or county name

Property: Parcel ID or address

Effective Date: MM/DD/YYYY format

Signing Party: Printed name and title

Authentication: Notary or e-sign method

Consequences of incorrect or incomplete forms

Rejection: Processing delay

Unenforceable: Legal challenge risk

Fines: Local penalty exposure

Permit Delay: Project timeline impact

Record Inaccuracy: Incorrect public records

Tax Implications: Assessment or refund errors

Common mistakes to avoid

Failing to use the official ordinance number or title, which prevents staff from matching the selection to the correct code text and causes rework.
Entering an ambiguous property identifier (only a street name or partial address) instead of a parcel ID, which can lead to affecting the wrong parcel.
Missing the required signer or using an unauthorized signatory, creating a gap that may invalidate the selection for enforcement.
Not retaining an authenticated audit trail or notarization copy when required, which hinders legal defensibility during appeals or disputes.

Practical tips for accurate and efficient completion

Adopt consistent data entry rules and verification steps to minimize rejections and improve administrative throughput.

Confirm the correct local jurisdiction and scope

Verify city or county boundaries and whether the ordinance applies within special districts or overlay zones before selecting the ordinance on the form.

Validate parcel identifiers and addresses

Cross-check parcel numbers and addresses with GIS or tax assessor records to ensure the form references the intended property and avoids affecting adjacent parcels.

Use authenticated eSignature or notarization

Match signer authentication to the level required by your jurisdiction (email/SMS for low-risk; notarization or RON when law or local policy mandates it).

Retain an accessible audit trail and copies

Store the signed form, evidence of signer authentication, and any notary journal entry in the official record system for the retention period applicable to the document.

Real-world examples of related digital workflows

These brief examples show how organizations use digital signing and records to manage ordinance-related forms and approvals.

Tim Martin, Martin Properties

The interface is simple and easy-to-use for our team.

We process remote signings on mobile and desktop.
Using cloud signatures and archived audit trails let us close permitting steps faster while keeping secure, retrievable records for inspections and appeals.

Kodi-Marie Evans, Xerox

We integrated document signing into a records workflow for approvals.

Integration cut manual routing.
Built-in templates and signer authentication reduced errors and shortened approval cycles while ensuring signed records are stored with the case file.

Timelines and processing expectations

Typical timing varies by municipality; below are common deadlines and service-level expectations to plan around.

Filing to Acknowledgement:

Allow 3–14 business days for initial administrative review.

Public Notice Period:

Publication or notice windows commonly run 14–30 days depending on local code.

Appeal Window:

Many local codes provide 10–30 days to file an appeal after notice.

Permit Integration:

Ordinance selection may be required before final permit issuance.

Record Updating:

Expect 7–30 days for records staff to update official files.

Frequently asked questions about the form

Answers to common questions can help avoid rejections and speed processing; consult local office policies for jurisdiction-specific rules.

Need help? Contact support

What if I enter the wrong ordinance number?
If the ordinance number is incorrect staff may reject the submission or apply the wrong regulation; correct and resubmit the form promptly with a clear amendment or replacement document.
Can the form be signed electronically?
Yes; electronic signatures are valid under the ESIGN Act and most state UETA laws when intent, consent, attribution, and retention are documented; confirm whether notarization or RON is additionally required.
Is notarization always required?
Notarization depends on local rules and the document type; many municipalities accept eSignatures for administrative selections but require notarization for deeds or certain legal instruments.
How do I verify signer authority?
Collect supporting documentation showing delegated authority (council resolution, power of attorney, corporate authorization) and attach it to the submitted form.
What records should be retained?
Keep the signed form, audit trail or notary evidence, and any supporting attachments for the retention period that applies to the record type and jurisdiction.
Who do I contact about processing delays?
Contact the issuing municipal department listed on the form; include form reference, submission date, and any transaction or permit numbers to expedite status checks.

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