Gouverneur, NY · St. Lawrence County

No notary required

Variance Application

Applicants use this form to request a variance from a section of the zoning regulations and provide information about the site and proposed use.

What this form is

The Variance Application requests a variance from a section of the zoning regulations and is attached to a Building/Use Permit Application. It asks for the requested variance, site and operating details, available utilities, and reasons for the request, including financial hardship or practical difficulties. The form says to include a $50 filing fee.

Who needs it

Applicants requesting a zoning variance complete this application and attach it to a Building/Use Permit Application.

How to submit it

Include the $50 filing fee and attach this application to the Building/Use Permit Application. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

The application is completed without a notary; it asks for the applicant’s name and date and mentions no sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Variance Application PDF.

  2. 2

    Complete The Application

    Enter the applicant’s name and date, describe the requested variance, and answer the questions about the site and reasons for the request.

  3. 3

    Gather The Required Items

    Include the $50 filing fee and the Building/Use Permit Application to which this form is attached.

  4. 4

    Submit To The City

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

Frequently asked questions

What is the Variance Application used for?
It requests a variance from a section of the zoning regulations and asks about the proposed variance, site conditions, utilities, and reasons for the request.
Who should complete the Variance Application?
Applicants requesting a zoning variance should complete this application and attach it to a Building/Use Permit Application.
Do I need a notary for the Variance Application?
No. The application is completed without a notary; it asks for the applicant’s name and date and mentions no sworn or notarized attachment.
How do I submit the Variance Application?
Include the $50 filing fee and attach the application to a Building/Use Permit Application. The form does not give submission contact details; check the city website.

Need something notarized?

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