Nichols, NY · Tioga County
Telecommunications Facilities Special Use Permit Checklist
This checklist helps telecommunications permit applicants assemble the application materials and site information required for Town of Nichols review.
What this form is
The checklist identifies materials for a telecommunications facilities special use permit package, including the application, a SEQR Full Environmental Assessment Form Part I, and a specific site plan. Applicants use it to prepare materials for Town review; the document notes a $4,000 application fee and a $1,000 co-location fee. It also says additional materials may be required under the Town’s telecommunications law.
Who needs it
Applicants seeking a Town of Nichols special use permit for telecommunications facilities can use this checklist to assemble their submission.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This checklist is signed and dated without a notary; it lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download the Checklist
Download the Telecommunications Facilities Special Use Permit Checklist.
- 2
Complete the Checklist
Review the listed application and site plan materials, then sign and date the checklist.
- 3
Gather the Listed Materials
Assemble the application, SEQR form, site plan details, and other materials listed on the checklist.
- 4
Submit to the Town
Submit the checklist and application materials to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Telecommunications Facilities Special Use Permit Checklist cover?
- It lists application materials, including a completed application, SEQR Full Environmental Assessment Form Part I, and a telecommunications facilities site plan.
- Do I need a notary for the Telecommunications Facilities Special Use Permit Checklist?
- No. The checklist is signed and dated without a notary, and it lists no notarized or sworn attachment or related step.
- How do I submit the Telecommunications Facilities Special Use Permit Checklist?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Telecommunications Facilities Special Use Permit Checklist doesn’t need a notary — but if you have another Nichols form that does, a commissioned online notary can help.
