Gouverneur, NY · St. Lawrence County

No notary required

Special Use Permit Application

Applicants use this application to request a special use permit and describe the proposed use, its expected impacts, and how it serves public welfare and convenience.

What this form is

This application requests a special use permit under the zoning regulations and is attached to a Building/Use Permit Application. It asks for the applicant's name, request details, reasons for the request, and information about matters such as operating hours, peak usage, traffic, lighting, utilities, and services. The form says to include a $25 filing fee.

Who needs it

Anyone requesting a special use permit under the zoning regulations should complete this application and attach it to a Building/Use Permit Application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. Include the $25 filing fee and attach it to the Building/Use Permit Application.

About notarization

This document is signed without a notary; it does not mention a notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the Special Use Permit Application PDF.

  2. 2

    Complete The Application

    Provide the applicant's name, describe the requested use, and answer the questions about the proposal and site.

  3. 3

    Gather The Required Items

    Include the $25 filing fee and attach the application to a Building/Use Permit Application.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Special Use Permit Application?
No. This document is signed without a notary, and it does not mention a notarized or sworn attachment; the signer just signs and dates it.
How do I submit the Special Use Permit Application?
Submit it to the city department named on the form; check the city website for current contact details. Include the $25 filing fee and attach the application to a Building/Use Permit Application.
What information does the application ask for?
It asks about the requested use, reasons for the request, operating hours, peak usage, traffic, lighting, utilities, and other site conditions.

Need something notarized?

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