Glen Cove, NY · Nassau County
Planning Board Affidavit of Service by Mail
This affidavit records an applicant’s sworn statement that notice of a special use permit application was mailed to the listed owners of properties within 300 feet of the subject property.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The affidavit identifies the Planning Board application and states that the required notice was sent to the party or parties listed on an annexed list. It describes service by certified mail, return receipt requested, with a certificate of mailing. The applicant uses it to document mailing notice to owners of properties within 300 feet of the subject property for a special use permit application.
Who needs it
A Planning Board applicant who must document mailing the special use permit notice to owners of properties within 300 feet of the subject property needs this affidavit.
How to get this notarized
- 1
Download the Form
Get the Planning Board Affidavit of Service by Mail from the City of Glen Cove.
- 2
Fill In the Details
Complete the application, date, service details, and the list of parties served.
- 3
Book an Online Notary
Arrange an online notarization before signing the affidavit.
- 4
Sign on Video
Sign and swear to the affidavit during your online notary session.
- 5
Submit to the City
Submit the notarized affidavit and annexed list as directed for your Planning Board application.
Preview the form
The blank PDF straight from Glen Cove. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the affidavit?
- Identify the Planning Board application, attach the list of parties served, and provide the mailing details requested. Sign and swear to the statement before a notary.
- Do I need to sign this affidavit before a notary?
- Yes. The form includes a sworn-to-before-me jurat, so the person making the affidavit must sign and swear to its statements before a notary.
- Can I use a commissioned online notary?
- New York authorizes remote online notarization for its own notaries under Executive Law §135-c, in effect since 2023. Confirm with the city, town or village if unsure.
- What mailing method does the form describe?
- The affidavit states that notice was sent by certified mail, return receipt requested, with a certificate of mailing, through the United States Postal Service.
Other forms in Glen Cove
Fellow Plumber or Employer’s Affidavit for Plumbers License
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Affidavit of Footings, Foundations and Existing Support Systems
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Planning Board Affidavit of Posting
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Planning Board Disclosure Affidavit
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Planning Board Site Plan Application
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Planning Board Special Use Permit Application
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