Champion, NY · Jefferson County

No notary required

Application for Zoning Permit

Property owners or authorized applicants use this application to request a Town of Champion zoning permit and describe the proposed property use and buildings.

What this form is

The Town of Champion Application for Zoning Permit requests permission for a proposed property use, such as a residence, agricultural use, or commercial use. Applicants provide the location, property tax map number if known, and details about proposed buildings, including dimensions and setbacks. The form also asks for applicant contact information and a signed certification.

Who needs it

A property owner or someone authorized by the owner should complete this application to request a zoning permit from the Town of Champion.

How to submit it

Mail the completed form with a $20 check payable to the Town of Champion to the Zoning Enforcement Officer, 10 North Broad St, Carthage, NY 13619.

About notarization

This document is signed and dated without a notary; the form lists no notarized attachment or related sworn step.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Champion Application for Zoning Permit PDF.

  2. 2

    Complete The Form

    Describe the proposed property use and location, provide building and setback details, and enter applicant contact information.

  3. 3

    Sign And Date

    The applicant signs and dates the form to certify that the information is truthful to the best of their knowledge.

  4. 4

    Mail The Application

    Mail the completed form with a $20 check payable to the Town of Champion to the Zoning Enforcement Officer at the listed address.

Frequently asked questions

Do I need a notary for the zoning permit application?
No. This application is signed and dated without a notary, and it lists no notarized attachment or related sworn step.
How do I submit the zoning permit application?
Mail the completed form with a $20 check payable to the Town of Champion to the Zoning Enforcement Officer, 10 North Broad St, Carthage, NY 13619.
What information does the application ask for?
It asks for the proposed purpose and property location, the use of the property, building descriptions, dimensions and setbacks, and the applicant’s contact details and signature.

Need something notarized?

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