What is the Special Use Permit Review Application for?

It requests Planning Board review of a proposed special use and collects applicant, property, variance, and waiver information, along with required site plan submissions.

How do I submit the Special Use Permit Review Application?

Submit it to the Planning Board Clerk at 1416 County Route 7, Ancram, NY 12502, or email it to planningboard@ancramny.org. The form lists a permit fee and escrow determined by the Planning Board.

What materials does the application require?

The form calls for seven copies of the sketch plan and digital submissions. It also lists site plan materials and related items, including a SEQRA Environmental Assessment Form and, when applicable, an Agricultural Data Statement.

Ancram, NY · Columbia County

No notary required

Special Use Permit Review Application

An application for property owners or applicants seeking Planning Board review of a proposed special use in the Town of Ancram.

What this form is

Use this application to request Planning Board review of a proposed special use. It collects applicant and property details, asks about proposed variances or waivers, and lists site plan materials and other submissions required for review. The application calls for seven copies of the sketch plan and digital submissions, and says all materials must be submitted 14 days before a Planning Board meeting to be placed on the agenda.

Who needs it

Property owners or authorized applicants seeking Planning Board review of a proposed special use in the Town of Ancram need this application.

How to submit it

Submit the application to the Planning Board Clerk at 1416 County Route 7, Ancram, NY 12502, or email [email protected]. The form lists a special use permit fee and escrow determined by the Planning Board.

About notarization

This document is signed without a notary; it requests applicant and owner signatures and dates, and does not identify a notarized or sworn attachment.

How to submit this form

1
Download the Application
Download the Special Use Permit Review Application.
2
Complete the Application
Provide applicant and property details and answer questions about proposed variances or waivers.
3
Gather Required Materials
Prepare seven copies of the sketch plan, digital submissions, and the site plan materials listed on the form.
4
Submit to the Planning Board Clerk
Send the application and materials to the Planning Board Clerk at the address or email listed on the form.

Frequently asked questions

What is the Special Use Permit Review Application for?: It requests Planning Board review of a proposed special use and collects applicant, property, variance, and waiver information, along with required site plan submissions.
Do I need a notary for the Special Use Permit Review Application?: No. The document is signed without a notary; it requests applicant and owner signatures and dates and does not identify a notarized or sworn attachment.
How do I submit the Special Use Permit Review Application?: Submit it to the Planning Board Clerk at 1416 County Route 7, Ancram, NY 12502, or email it to [email protected]. The form lists a permit fee and escrow determined by the Planning Board.
What materials does the application require?: The form calls for seven copies of the sketch plan and digital submissions. It also lists site plan materials and related items, including a SEQRA Environmental Assessment Form and, when applicable, an Agricultural Data Statement.

Need something notarized?

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