Coxsackie, NY · Greene County

No notary required

Application for Special Use Permit

This application is for owners, engineers, or contractors seeking a special use permit for property in the Town of Coxsackie.

What this form is

The Town of Coxsackie application is used to request a special use permit for a property. It asks whether the applicant is the owner, engineer, or contractor; contact details for the owner and any engineer or contractor; the property address, existing use, and proposed special use; and the applicant’s signature and date. The form lists a $75 fee.

Who needs it

Owners, engineers, or contractors applying for a special use permit for property in the Town of Coxsackie should complete this application.

How to submit it

The form lists Town of Coxsackie, 56 Bailey Street, Coxsackie, NY 12051, and [email protected], plus a $75 fee; it does not specify a submission method.

About notarization

This application does not require a notary; the applicant signs and dates it, and no notarized or sworn attachment is listed.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Coxsackie Application for Special Use Permit.

  2. 2

    Complete The Application

    Provide applicant and contact details, property address, existing use, proposed special use, and the applicant’s signature and date.

  3. 3

    Gather Attachments

    The application does not list any required attachments.

  4. 4

    Submit To The Town

    The form lists the Town at 56 Bailey Street and [email protected]; it does not specify a submission method.

Frequently asked questions

Who can apply for a special use permit with this form?
The form identifies the applicant as an owner, engineer, or contractor and requests details about the property and proposed special use.
What information does the application ask for?
It asks for applicant status, owner and representative contact details, the property address, existing use, proposed special use, and the applicant’s signature and date.
Do I need a notary for the Special Use Permit Application?
No. This application does not require a notary; the applicant signs and dates it, and no notarized or sworn attachment is listed.
How do I submit the Special Use Permit Application?
The form lists 56 Bailey Street, Coxsackie, NY 12051, and [email protected], as well as a $75 fee. It does not specify a submission method.

Need something notarized?

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