Patterson, NY · Putnam County
Address List Waiver
The Address List Waiver identifies a property and applicant for people seeking a computer-generated list of neighboring property owners from Patterson.
What this form is
This form identifies the subject property and applicant in connection with Patterson’s computer-generated list of neighboring property owners within 500 feet. It explains that the town does not represent the list’s accuracy and makes the applicant responsible for verifying that all neighboring owners are included. The form requests the property tax map number, zoning district, property address, and applicant’s name, signature, and address.
Who needs it
Applicants seeking a computer-generated list of neighboring property owners within 500 feet of a subject property use this form.
How to submit it
The form lists the Planning Department at P.O. Box 470, 1142 Route 311, Patterson, NY 12563. It does not specify a submission method.
About notarization
This document is signed without a notary; it identifies no sworn or notarized attachment, so the applicant signs the form.
How to submit this form
- 1
Download The Form
Download the Address List Waiver PDF.
- 2
Complete The Property Details
Enter the property tax map number, zoning district, property address, and city, state, and ZIP code.
- 3
Complete Applicant Details
Enter the applicant’s name and address, then sign the form.
- 4
Submit To The Planning Department
The form lists the Planning Department at P.O. Box 470, 1142 Route 311, Patterson, NY 12563.
Frequently asked questions
- What does the Address List Waiver do?
- It identifies the property and applicant for a computer-generated list of neighboring property owners within 500 feet, and explains that the applicant must verify the list’s accuracy.
- Who uses this form?
- Applicants seeking a computer-generated list of neighboring property owners within 500 feet of a subject property use the form.
- Do I need a notary for the Address List Waiver?
- No. The form is signed without a notary and identifies no sworn or notarized attachment; the applicant signs the form.
- How do I submit the Address List Waiver?
- The form lists the Planning Department at P.O. Box 470, 1142 Route 311, Patterson, NY 12563, but does not specify a submission method.
Need something notarized?
This Address List Waiver doesn’t need a notary — but if you have another Patterson form that does, a commissioned online notary can help.