Jackson, NY · Washington County
Planning Board Agency Designation Form
This form lets a property owner designate a representative or agent to act on the owner’s behalf in a Town of Jackson Planning Board site plan review proceeding.
- 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
The form records the property owner’s appointment of a representative or agent for a site plan review proceeding in the Town of Jackson. It gives that person authority to file applications, make representations and warranties, and speak for the owner, whose form states they will be bound by those statements. The owner and the designated representative or agent each have a signature and notary section.
Who needs it
A property owner who wants a representative or agent to act on their behalf in a Town of Jackson Planning Board site plan review proceeding uses this form.
Why it needs a notary
The form has Notary Public signature lines for both the landowner and the representative or agent, and each signer should sign before a notary.
How to get this notarized
- 1
Download the Form
Get the Town of Jackson Planning Board Agency Designation Form.
- 2
Fill In the Details
Enter the landowner and representative or agent information in the form.
- 3
Book an Online Notary
Arrange a remote appointment with a commissioned online notary for both signers.
- 4
Sign on Video
Both the landowner and the representative or agent sign during the online notary session.
- 5
Submit to the Town
Submit the completed form for the Town of Jackson Planning Board site plan review proceeding.
Preview the form
The blank PDF straight from Jackson. 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 complete the agency designation form?
- Enter the landowner and representative or agent information, then have both sign before a notary. Submit the completed form for the Town of Jackson site plan review proceeding.
- Do I need to notarize this form?
- The form includes Notary Public signature lines for both the landowner and the representative or agent. Each signer should complete the notary portion.
- Can I use a commissioned online notary?
- New York authorizes its notaries to perform remote online notarizations. Ask the Town of Jackson whether it will accept the remotely notarized form; confirm with the city, town or village if unsure.
- What authority does the designated agent receive?
- The form authorizes the agent to file applications, make representations and warranties, and act for the owner in the site plan review proceeding. The owner agrees to be bound by the agent’s statements.