North Salem, NY · Westchester County

Special Permit Application

This application asks the North Salem Zoning Board of Appeals to approve a special permit and is filed by a property owner or petitioner seeking a covered use or project.

Detailed form~25 min to notarize
  • 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 application identifies the petitioner and property, describes the proposed use, and gives the Board information about its neighborhood impact. North Salem requires a completed application with signatures and notarization where required, a Short Environmental Assessment Form, and the listed plans and supporting materials. Applicants must first return the completed application for review by the Zoning Board Secretary before making copies and meeting the final filing deadline.

Who needs it

A property owner or petitioner seeking a special permit from the North Salem Zoning Board of Appeals must complete and submit this application with required supporting materials.

Why it needs a notary

The petition includes a sworn statement and jurat; the petitioner signs before the notary, and the property affidavit provides notary lines for the owner and agent.

How to get this notarized

  1. 1

    Download The Application

    Get the Special Permit Application from the Town of North Salem and review its instructions and filing schedule.

  2. 2

    Complete The Application

    Fill in the petitioner, property, request, and use details, and gather the required supporting materials.

  3. 3

    Book An Online Notary

    Arrange a remote session with a commissioned online notary for the signature blocks that require notarization.

  4. 4

    Sign On Video

    Sign the applicable petition or affidavit before the notary during your online session.

  5. 5

    Submit For Review

    Return the completed application to the Zoning Board Secretary for review, then follow the town’s filing instructions.

Preview the form

The blank PDF straight from North Salem. Look it over, then upload your filled copy to start the notary session.

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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 submit the North Salem special permit application?
Return the completed application and required signatures to the Zoning Board Secretary for review before making copies. Follow the form’s filing schedule and include required supporting documents and copies.
Do I need to notarize the special permit application?
The form says applications must be notarized where required. Its petition has a sworn statement and jurat for the petitioner, and the property affidavit includes notary lines for the owner and agent.
Can I sign the application with a commissioned online notary?
New York authorizes remote online notarization by its own notaries under Executive Law §135-c, effective in 2023. Ask the Town of North Salem whether it will accept the remotely notarized document for this filing.
What supporting materials does the application list?
The instructions call for a Short Environmental Assessment Form, plans, surveys, tax map copies, and other materials depending on the application. An Agricultural Data Statement may also be required in the circumstances described.
Who can I contact if I am unsure about filing requirements?
Contact the Zoning Board Secretary using the phone number or email listed on the form; confirm with the city, town or village if unsure.

Special Permit Application in other Westchester County cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Special Permit Application?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.