DeRuyter, NY · Madison County

No notary required

Application to the Planning Board for a Special Permit

This application is for property owners or applicants seeking a special permit from the DeRuyter Planning Board.

What this form is

Use this application to request a special permit from the DeRuyter Planning Board for a proposed special use. It asks for applicant contact details, the property’s tax map ID and location, its district, and a brief description of the proposed use. The application must include supporting documentation and a completed short-form SEQR form; the board’s instructions also state a filing date and fee.

Who needs it

Applicants seeking a special permit from the DeRuyter Planning Board should complete and file this application with supporting documentation.

How to submit it

File the application and supporting documents with the Planning Board Clerk by the first of the month at 735 Utica St., PO Box 394, DeRuyter, NY 13052. The $50 fee is payable to the Town of DeRuyter when applying.

About notarization

This application is signed and dated without a notary; the attached SEQR form includes an applicant affirmation, but no notarized attachment is specified.

How to submit this form

  1. 1

    Download The Application

    Download the special permit application and the short-form SEQR form referenced in its instructions.

  2. 2

    Complete The Application

    Enter applicant contact details, property information, the district, and a brief description of the proposed special use.

  3. 3

    Gather Supporting Documents

    Complete page one of the short-form SEQR form and gather the supporting documentation required for the application.

  4. 4

    Submit To The Planning Board Clerk

    File the materials by the first of the month at the Clerk's listed address and pay the $50 application fee.

Frequently asked questions

What is the DeRuyter special permit application for?
It requests a special permit from the DeRuyter Planning Board and collects applicant and property details, the proposed special use, and supporting environmental review information.
What must accompany the application?
The application instructions require supporting documentation and a completed short-form SEQR form. The applicant completes page one of the SEQR form and submits it with the application.
Do I need a notary for the DeRuyter special permit application?
No. This application is signed and dated without a notary. The attached SEQR form includes an applicant affirmation, but no notarized attachment is specified.
How do I submit the DeRuyter special permit application?
File the application and supporting documents with the Planning Board Clerk by the first of the month at the address on the form. The $50 fee is payable to the Town of DeRuyter when applying.

Need something notarized?

This Application to the Planning Board for a Special Permit doesn’t need a notary — but if you have another DeRuyter form that does, a commissioned online notary can help.