Orleans, NY · Jefferson County

No notary required

Special Use Permit Application

This application requests a special use permit from the Town of Orleans and is completed by an owner, purchaser under contract, or contractor.

What this form is

The Town of Orleans Planning Board uses this application to review a requested special use. Applicants provide their name and contact information, the location and boundaries, tax map parcel number, and the use requested. The application requires two plot plans and two photos, and the document states that a $100 application fee is due when submitted.

Who needs it

An owner, purchaser under contract, or contractor seeking a special use permit from the Town of Orleans should complete this application.

How to submit it

Submit the application with the $100 fee to the Town of Orleans Planning Board, PO Box 103, 20558 Sunrise Avenue, LaFargeville, NY 13656.

About notarization

This application is signed and dated without a notary; the signer certifies the statements are true and correct, and no sworn attachment is listed.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Orleans Special Use Permit Application PDF.

  2. 2

    Complete The Application

    Provide applicant contact information, location and boundaries, tax map parcel number, and the use requested.

  3. 3

    Gather Required Materials

    Include two plot plans and two photos showing the area involved; draw the plans to scale and include a north arrow.

  4. 4

    Submit To The Planning Board

    Submit the application and $100 fee to the Town of Orleans Planning Board at the address listed on the form.

Frequently asked questions

Do I need a notary for the Special Use Permit Application?
No. This application is signed and dated without a notary. The signer certifies that the statements are true and correct; no sworn attachment is listed.
What must accompany the Special Use Permit Application?
The application requires two plot plans showing lot, structural, and yard dimensions and other information required under Article VII of the Ordinance. Two photos showing the area involved are also required.
How do I submit the Special Use Permit Application?
Submit the application with the $100 fee to the Town of Orleans Planning Board, PO Box 103, 20558 Sunrise Avenue, LaFargeville, NY 13656.

Need something notarized?

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