Situs Address and Street Name Change Request Form

Use this to apply for a new address, a new address for Accessory Dwelling Units, or to change the name of a street.

How Much Does it Cost?

Refer to the Planning Division Fee Schedule for current fees.

How to Submit this Form

This form can be mailed or submitted in person.

1. Download and fill out the form.

2. Mail it or bring it in person to:
   Community Development Agency
   Planning Division
   3501 Civic Center Drive, Suite 308
   San Rafael, CA 94903

   Hours
   Monday to Thursday: 8 a.m. to 4 p.m.
   Friday: 8 a.m. to 12 p.m.

3. Pay the fee by cash or check when you submit the form. If you mail the form in without payment, staff will call you to arrange a payment.