Palmyra, NY · Wayne County

No notary required

Special Event Permit Application

Event organizers use this application to request Village Board approval for special events that use or significantly affect public property or rights of way in Palmyra.

What this form is

This application requests Village Board approval for a special event, including events that use or significantly affect public property or rights of way. It asks for event, contact, schedule, location, and service details, and includes requirements for supporting information such as a site plan and insurance certificate. Organizers should complete the application and provide required materials for Board review.

Who needs it

Event organizers planning an event that uses or significantly affects public property or rights of way in the Village should submit this application.

How to submit it

The completed application must be received 60 days before the event. Submit it by mail or in person to the Village Clerk, Village Hall, 144 East Main Street, Palmyra, NY 14522.

About notarization

This application is signed and dated without a notary; the document does not specify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download the Application

    Download the Special Event Permit Application PDF.

  2. 2

    Complete the Application

    Enter event, contact, schedule, location, and service information, then sign and date the certification.

  3. 3

    Gather Supporting Materials

    Include a detailed site plan, an insurance certificate, and other necessary information and supporting documents.

  4. 4

    Submit to the Village Clerk

    Submit by mail or in person to the Village Clerk at Village Hall; the application must be received 60 days before the event.

Frequently asked questions

Do I need a notary for the Special Event Permit Application?
No. The application asks the applicant to sign and date it, but does not require notarization or identify a notarized or sworn attachment.
How do I submit the Special Event Permit Application?
Submit the completed application by mail or in person to the Village Clerk at Village Hall, 144 East Main Street, Palmyra, NY 14522. It must be received 60 days before the event.
What supporting materials does the application ask for?
The application requests a detailed site plan and an insurance certificate, along with other necessary information and supporting documents. It also identifies additional permits or documents that may apply to certain events.
Who reviews the application?
The Village Board reviews and approves or denies Special Event Permit applications by resolution. The application says the Board reviews submissions only when forms, necessary information, supporting documents, and permit fees are included.

Need something notarized?

This Special Event Permit Application doesn’t need a notary — but if you have another Palmyra form that does, a commissioned online notary can help.