Department of Commerce, AS · Eastern District

No notary required

Zoning Variance Application

This application is for people seeking a zoning variance in American Samoa to describe the property, proposed project, and reason for the request.

What this form is

The Zoning Board of American Samoa uses this application to review requests for use, change, parking, or other zoning variances. Applicants provide their contact details, property location, project information, and any prior variance decision for the premises. The form lists required review materials, including plans and proof of ownership, and requires notice to neighbors within 300 feet of the affected land.

Who needs it

A property owner or applicant seeking a zoning variance in American Samoa should complete this application and provide the listed review materials.

How to submit it

Submit the application to the Zoning Board of American Samoa for Board review. The form lists a $10 application fee and asks applicants to attach a copy of the receipt.

About notarization

This document is signed without a notary; the applicant and neighbors sign and date it, and the listed attachments do not require notarization.

How to submit this form

  1. 1

    Download The Application

    Download the Zoning Variance Application PDF.

  2. 2

    Complete The Form

    Enter applicant and property details, describe the project, and state the reason for the variance request.

  3. 3

    Gather Required Attachments

    Include the listed plans and proof of ownership, plus a lease agreement or communal land legal document when applicable.

  4. 4

    Submit To The Zoning Board

    Submit the application for Board review and attach a copy of the $10 application fee receipt.

Frequently asked questions

Do I need a notary for the Zoning Variance Application?
No. This application is signed without a notary. The applicant and neighbors sign and date it, and the listed attachments do not require notarization.
How do I submit the Zoning Variance Application?
Submit it to the Zoning Board of American Samoa for Board review. The form lists a $10 application fee and asks you to attach a copy of the receipt.
What attachments does the application list?
The form lists a site plan, parking plan, floor plan, and proof of ownership. It also requests a lease agreement if the premises are leased, or a communal land legal document signed by the Sa’o.
Do neighbors need to sign the application?
The notice says neighbors within 300 feet of the affected land must be informed. Their signatures indicate they were informed, not that they approve or oppose the application.

Need something notarized?

This Zoning Variance Application doesn’t need a notary — but if you have another Department of Commerce form that does, a commissioned online notary can help.