Union Vale, NY · Dutchess County

No notary required

Application for Issuance of a Special Use Permit

This application requests Planning Board approval for a proposed special use permit in the Town of Union Vale and is completed by the applicant.

What this form is

The form requests Union Vale Planning Board approval for a special use permit after the Code Enforcement Officer advises that one is required. It asks for applicant, owner, agent, property, zoning, and proposed-work details. A complete application includes a sketch or site plan, an Environmental Assessment Form, the application fee, and other listed supporting documents, submitted at least 14 days before the applicable meeting.

Who needs it

An applicant advised by the Town of Union Vale Code Enforcement Officer that a special use permit is required should complete this application.

How to submit it

Submit the application through the Planning Board Secretary with the application fee and required materials. The form lists the Planning Board at 249 Duncan Road, Tymor Park, LaGrangeville, NY 12540, and [email protected].

About notarization

This application is signed and dated without a notary; its listed attachments include an Environmental Assessment Form and, when applicable, written proof of authorization to act for the owner.

How to submit this form

  1. 1

    Download The Application

    Download the Special Use Permit Application PDF.

  2. 2

    Complete The Form

    Enter applicant, property, project, owner, and agent details, then sign and date the application.

  3. 3

    Gather Required Materials

    Include the plan, Environmental Assessment Form, application fee, and other applicable listed attachments.

  4. 4

    Submit To The Planning Board

    Submit the application and materials through the Planning Board Secretary at least 14 days before the meeting.

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 without a notary. It lists an Environmental Assessment Form and, if applicable, written proof of authorization to act for the owner.
How do I submit the Special Use Permit Application?
Submit it through the Planning Board Secretary with the application fee and required materials. The form lists the Planning Board address and email.
What information does the application ask for?
It asks for applicant, owner, and agent contact details, the tax map parcel number, project location and use, proposed work, and zoning district.
What materials are listed with the application?
The form lists a sketch or building plan, an Environmental Assessment Form, the application fee, owner authorization when applicable, a copy of the original deed, and other data.

Need something notarized?

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