Nichols, NY · Tioga County
Telecommunications Facilities Special Use Permit Application
This application requests a Town of Nichols Planning Board special use or co-location permit for a telecommunications facility and is filed by the applicant with the Town.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this two-page application to request a special use permit or co-location permit for a telecommunications facility in the Town of Nichols. It asks for applicant contact details, property and zoning information, and adjacent property owners, and lists separate application fees for the two permit types. The form identifies Chapter 168 of the Town of Nichols Code and includes a sworn statement for the applicant to sign before a notary.
Who needs it
An applicant seeking a Town of Nichols Planning Board special use or co-location permit for a telecommunications facility should complete and submit this application.
Why it needs a notary
The form carries a state jurat marked “Sworn to”; the applicant signs the application before the notary, and the form provides space for applicant signatures.
How to get this notarized
- 1
Download the Application
Get the Telecommunications Facilities Special Use Permit Application from the Town of Nichols.
- 2
Complete the Form
Enter applicant, property, zoning, and adjacent-owner information, and identify the permit requested.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary for the sworn-to jurat.
- 4
Sign on Video
Sign the application during the video session when directed by the notary.
- 5
Submit to the Town
Follow the Town of Nichols Planning Board instructions to submit the completed application and applicable fee.
Preview the form
The blank PDF straight from Nichols. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get this application notarized online?
- Complete the form, then book with a commissioned online notary. Sign during the video session when instructed so the notary can complete the sworn-to jurat.
- Do I need to sign this form in front of a notary?
- Yes. The application includes a “Sworn to” jurat and a notary-public section, so the applicant should sign before the notary.
- What information does the application request?
- It requests applicant contact details, a tax map number, zoning district, property location, adjacent property owners, and the type of telecommunications permit requested.
- Can a commissioned online notary notarize this form?
- New York authorizes remote online notarization by its own notaries under Executive Law §135-c, effective in 2023. Confirm with the city, town or village if unsure.