North Brunswick, MT · Middlesex County

No notary required

Request for Certified List of Property Owners

Applicants before the Planning Board or Zoning Board of Adjustment use this request to obtain a certified list of property owners within 200 feet of specified properties.

What this form is

This request asks North Brunswick Township for a certified list of property owners within 200 feet of specified blocks and lots. It is for use in connection with an application before the Planning Board or Zoning Board of Adjustment, such as a variance, subdivision, site plan, or other matter. The form requests applicant contact details, a signature and date, and a $10 check payable to North Brunswick Township.

Who needs it

An applicant with a matter before the Planning Board or Zoning Board of Adjustment who needs a certified list of nearby property owners should complete this request.

How to submit it

Enclose a $10 check payable to North Brunswick Township. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the applicant simply signs and dates the request.

How to submit this form

  1. 1

    Download The Request

    Download the Request for Certified List of Property Owners.

  2. 2

    Complete The Request

    Enter the blocks and lots, select the applicable board and application type, and provide your contact details.

  3. 3

    Prepare The Check

    Enclose a $10 check payable to North Brunswick Township.

  4. 4

    Sign And Submit

    Sign and date the request, then submit it to the city department named on the form.

Frequently asked questions

What does this request form do?
It requests a certified list of property owners within 200 feet of specified blocks and lots in connection with an application before a township board.
Who uses the certified list request?
Applicants before the Planning Board or Zoning Board of Adjustment can request the list for a variance, subdivision, site plan, or other matter.
Do I need a notary for the certified property owners list request?
No. This request is signed and dated without a notary; the applicant simply signs and dates the form.
How do I submit the certified list request?
Enclose a $10 check payable to North Brunswick Township. Submit the request to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Request for Certified List of Property Owners doesn’t need a notary — but if you have another North Brunswick form that does, a commissioned online notary can help.