Champlain, NY · Clinton County

No notary required

Special Use Permit Application

Property owners or applicants use this form to request special use approval from the Village of Champlain and provide project and property details.

What this form is

This application requests special use approval for a property in the Village of Champlain. It asks for applicant and property details, the current and proposed uses, building and adjoining-property descriptions, and a site plan; it also includes a Short Environmental Assessment Form. Applicants are instructed to include three copies of a site plan map with the application.

Who needs it

A property owner or other applicant seeking special use approval for a property in the Village of Champlain needs this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; the applicant or sponsor also certifies the environmental form, which does not call for notarization.

How to submit this form

  1. 1

    Download The Application

    Download the Special Use Permit Application PDF.

  2. 2

    Complete The Application

    Fill in applicant and property details, describe the existing and proposed uses, and complete the environmental assessment.

  3. 3

    Gather The Site Plan

    Include three copies of a site plan map drawn to scale with the applicable details listed in the application.

  4. 4

    Submit The Application

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Special Use Permit Application for?
It requests special use approval and collects information about the applicant, property, proposed project, site plan, and environmental considerations.
Who completes this application?
The property owner or applicant seeking special use approval provides the project and property details and signs the application.
Do I need a notary for the Special Use Permit Application?
No. The application is signed and dated without a notary. The applicant or sponsor certifies the environmental form, which does not call for notarization.
How do I submit the Special Use Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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