Monroe, NY · Orange County

No notary required

Land Use Determination Form

Applicants or tenants use this form to provide the Building Department with information for a determination about a property's intended use.

What this form is

The form provides information for the Building Department to determine land use and whether permits or additional approvals are required. It asks about the property, current and intended uses, business operations, occupancy, alterations, employees, hours, and parking; the applicant and owner or landlord have signature lines.

Who needs it

An applicant or tenant planning to occupy a building can provide this form to the Building Department for a land use determination.

How to submit it

Submit the form to the Building Department at Village Hall, 7 Stage Road, Monroe, NY 10950.

About notarization

This form has applicant and owner or landlord signature lines and requires no notary; it identifies no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Land Use Determination Form PDF.

  2. 2

    Complete The Form

    Provide the requested applicant, property, intended-use, operations, and parking information.

  3. 3

    Gather Attachments

    The form does not identify any attachments to gather.

  4. 4

    Sign And Submit

    Have the applicant and owner or landlord sign, then submit it to the Building Department at Village Hall, 7 Stage Road.

Frequently asked questions

What is the Land Use Determination Form for?
It provides the Building Department with information to determine land use and whether permits or additional approvals are required.
What information does the form ask for?
It asks about the applicant, property, intended use and business operations, alterations, employees, operating hours, and parking.
Do I need a notary for the Land Use Determination Form?
No. The applicant and owner or landlord sign the form; it identifies no notarized or sworn attachment.
How do I submit the Land Use Determination Form?
Submit it to the Building Department at Village Hall, 7 Stage Road, Monroe, NY 10950.

Need something notarized?

This Land Use Determination Form doesn’t need a notary — but if you have another Monroe form that does, a commissioned online notary can help.