Chemung County, NY · Chemung County
Municipal Referral Form
Chemung County municipalities use this form to refer proposed land-use actions to the Chemung County Planning Board for review.
At a glance
- Issued by
- City of Chemung County · Chemung County, Chemung County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- chemungcountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form lets a municipality refer a proposed land-use action to the Chemung County Planning Board. It asks for information about the municipality, referring official, petitioner, property, proposed action, nearby features, and hearing or meeting schedule. Submit the form with supporting documentation, including applicable application materials and environmental documents listed in the accompanying checklist.
Who needs it
A municipal official submitting a proposed land-use action to the Chemung County Planning Board completes this form and gathers the applicable supporting materials.
How to submit it
Email the form and supporting documentation in PDF format to [email protected] if you accessed it from the webpage; otherwise, send it to the two email addresses listed on the form. Submit by close of business 12 calendar days before the Planning Board meeting.
About notarization
This form is completed without a notary; it does not request a signature or date, and lists no sworn or notarized attachments.
How to submit this form
- 1
Download the Form
Download the Municipal Referral Form and review its two pages.
- 2
Complete Both Pages
Provide the municipality, official, petitioner, property, proposed action, nearby features, and hearing or meeting schedule information.
- 3
Gather Supporting Materials
Include applicable local application materials, environmental documents, meeting minutes, and other items identified in the checklist.
- 4
Email the Referral
Email the form and supporting documents in PDF format to the address or addresses specified on the form, by the stated submission deadline.
Frequently asked questions
- What is the Municipal Referral Form for?
- It gives Chemung County municipalities a way to refer proposed land-use actions to the Chemung County Planning Board and provide information about the property, action, and hearing schedule.
- Do I need a notary for the Municipal Referral Form?
- No. The form does not request notarization, a signature, or a date, and its checklist does not list any sworn or notarized attachments.
- How do I submit the Municipal Referral Form?
- Email the form and supporting documentation in PDF format to [email protected] if you accessed it from the webpage. Otherwise, send it to the two email addresses shown on the form.
- When is the referral due?
- Completed referrals must be submitted by close of business 12 calendar days before the Chemung County Planning Board meeting.