Southport, NY · Chemung County

No notary required

Special Use Permit Application

Southport property owners and applicants use this application to request Planning Board review of a proposed special use and provide project details.

What this form is

The application requests a special use permit and asks for project, applicant, owner, and proposal information, including operating details, parking, signs, lighting, and utilities. Applicants must also submit a request letter, a completed environmental assessment form, a property survey, and an application fee; additional owner documentation may be needed when the applicant does not own the property. A public hearing is required, and the applicant or a representative must attend meetings.

Who needs it

Property owners and other applicants seeking a special use permit for a proposed project in Southport need to complete and submit this application.

How to submit it

Submit all paperwork to the Town of Southport office by the third Wednesday of the month; the form says incomplete or late applications will be put on the next agenda.

About notarization

This application is signed and dated without a notary; the form asks the applicant to sign and date the application and certification.

How to submit this form

  1. 1

    Download The Application

    Download the Special Use Permit Application and the attached environmental assessment form.

  2. 2

    Complete The Forms

    Fill in the applicant, owner, project, and proposal information, then sign and date the application.

  3. 3

    Gather Required Attachments

    Prepare a request letter and property survey; include owner permission or a purchase offer copy if applicable.

  4. 4

    Submit To The Town

    Submit all paperwork to the Town of Southport office by the third Wednesday of the month.

Frequently asked questions

Do I need a notary for the Special Use Permit Application?
No. The application asks the applicant to sign and date it; it does not request notarization.
How do I submit the Special Use Permit Application?
Submit all paperwork to the Town of Southport office by the third Wednesday of the month. Incomplete or late applications go on the next agenda.
What materials must I submit with the application?
The procedure calls for a letter explaining the request, a completed environmental assessment form, a property survey, and the application fee. If you do not own the property, include the owner's permission letter.

Need something notarized?

This Special Use Permit Application doesn’t need a notary — but if you have another Southport form that does, a commissioned online notary can help.