Lorraine, NY · Jefferson County

No notary required

Special Use Permit Application

Town of Lorraine applicants use this application to request approval for a proposed special use and provide project, property, and adjacent-owner information.

What this form is

This application requests Planning Board review of a proposed special use in the Town of Lorraine. It asks for applicant and property details, a project description, information about the site and surrounding lands, explanations addressing review standards, and a list of adjacent landowners. The form states that all special uses also require a Site Plan Application and that the application fee is non-refundable.

Who needs it

Applicants proposing a special use in the Town of Lorraine need this application and must also complete a Site Plan Application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form states a non-refundable $100 application fee.

About notarization

This document is signed without a notary; it identifies no sworn or notarized attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Application

    Download the Town of Lorraine Special Use Permit Application.

  2. 2

    Complete the Application

    Provide applicant, property, project, site, and adjacent landowner information, and explain how the proposal meets the stated review standards.

  3. 3

    Gather the Attachments

    Attach a copy of the current deed and any easements affecting the property. Complete a Site Plan Application as the form requires.

  4. 4

    Submit to the Town

    Submit the application to the department named on the form. Check the city website for current contact details; the form states a non-refundable $100 fee.

Frequently asked questions

What does the Special Use Permit Application ask for?
It requests applicant and property information, a project description, details about the site and nearby land uses, responses to review standards, and adjacent landowner information.
Do I need a notary for the Special Use Permit Application?
No. This document is signed without a notary, and it identifies no sworn or notarized attachment; the signer just signs and dates it.
How do I submit the Special Use Permit Application?
The form does not provide submission contact details. Submit it to the city department named on the form and check the city website for current contact details. It states a non-refundable $100 application fee.
Is a Site Plan Application also required?
Yes. The form states that all special uses also require a Site Plan Application to be completed.

Need something notarized?

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