Perry, NY · Wyoming County

No notary required

Application for Land Separation

Property owners or authorized agents use this application to seek Town of Perry Planning Board approval for a proposed land separation.

What this form is

The application requests final approval of a plat for a proposed land separation. It asks for owner or authorized-agent contact information, the property address and tax map parcel number, and a brief description of the proposal. Applicants must provide a sketch plan in the specified copies and a Short Environmental Assessment Form with Part I completed.

Who needs it

Property owners seeking approval for a proposed land separation, or their authorized agents with an authorizing letter, use this application.

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 document is signed and dated without a notary; the applicant also provides the listed sketch plan copies and completed environmental assessment form.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Land Separation.

  2. 2

    Complete The Application

    Provide owner or authorized-agent information, the property address, tax map parcel number, and a brief description of the proposed separation.

  3. 3

    Gather Required Documents

    Include one Mylar copy and six color copies of the sketch plan, plus a Short Environmental Assessment Form with Part I completed.

  4. 4

    Submit To The Town

    Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Application for Land Separation?
No. The application has a signature and date line but no notary block; the signer signs and dates it.
Who uses the land separation application?
A property owner or an authorized agent may apply for final approval of a proposed land separation. An agent must submit an authorizing letter.
What documents must accompany the application?
The application calls for one Mylar copy and six color copies of a sketch plan, plus a Short Environmental Assessment Form with Part I completed.
How do I submit the land separation application?
The form does not specify submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for Land Separation doesn’t need a notary — but if you have another Perry form that does, a commissioned online notary can help.