Fremont, NY · Sullivan County
GML-239 Referral Form
This form lets a municipal board refer a proposed local action to Sullivan County Planning & Community Development for review.
What this form is
Use this form to refer a local action, such as a site plan, variance, subdivision, or zoning change, to Sullivan County Planning & Community Development. It records the referring agency, project and applicant details, parcel information, review type, SEQR status, hearing information, and supporting documents. The form also includes a certification that the submission is a complete description and full statement under the cited General Municipal Law provision.
Who needs it
A town or village board, planning board, or zoning board of appeals completes this form when referring a local action to the county.
How to submit it
Submit the full statement to Sullivan County Division of Planning & Community Development, 100 North Street, Monticello, New York 12701.
About notarization
This form is signed and dated without a notary; the signer certifies the submission is a complete description and full statement, with no notarized attachment specified.
How to submit this form
- 1
Download The Form
Download the GML-239 Referral Form.
- 2
Complete The Form
Enter the referring agency, project and parcel details, action type, SEQR status, and hearing information.
- 3
Gather Supporting Documents
Include the applicable supporting materials, such as a location map, site plan, project narrative, or environmental assessment form.
- 4
Submit The Full Statement
Send the full statement to Sullivan County Division of Planning & Community Development at the address listed on the form.
Frequently asked questions
- What is the GML-239 Referral Form used for?
- Municipal boards use it to refer local actions, such as variances, site plans, subdivisions, and zoning changes, to Sullivan County Planning & Community Development.
- Who completes this referral form?
- The form identifies the referring agency as a town or village board, planning board, or zoning board of appeals.
- Do I need a notary for the GML-239 Referral Form?
- No. The form is signed and dated without a notary. The signer certifies the submission is a complete description and full statement; no notarized attachment is specified.
- How do I submit the GML-239 Referral Form?
- Submit the full statement to Sullivan County Division of Planning & Community Development, 100 North Street, Monticello, New York 12701.