Jerusalem, NY · Yates County
Application for an Area Variance
Property owners use this application to ask the Town of Jerusalem Zoning Board of Appeals to consider a variance from zoning requirements.
What this form is
The Town provides this application when the Code Enforcement Officer determines that a project does not meet one or more dimensional or physical zoning requirements. It asks for project and property details, requested variances, and responses to the Zoning Board of Appeals’ review criteria. The owner must sign it and provide the listed fee and supporting materials, including a project narrative and site plan or survey.
Who needs it
A property owner whose project does not meet applicable zoning dimensions or physical requirements may submit this application to request an area variance.
How to submit it
Submit the completed application and required materials to the Town of Jerusalem Department of Code Enforcement and Administration, 3816 Italy Hill Rd., Jerusalem, New York 14418. The application lists a $250 application fee and $100 for each additional variance, payable by check to the Town.
About notarization
This document is signed and dated by the owner without a notary; it does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download the Application
Download the Area Variance Application PDF for the Town of Jerusalem.
- 2
Complete the Application
Enter the project and property information, describe each requested variance, and answer the review criteria questions.
- 3
Gather Required Materials
Include the project narrative or summary, site plan or survey, applicable environmental assessment form, and required fee.
- 4
Sign and Submit
The owner signs and dates the application, then submits it and the listed materials to the Town of Jerusalem Department of Code Enforcement and Administration.
Frequently asked questions
- Do I need a notary for the Area Variance Application?
- No. The owner signs and dates this application without a notary; it does not identify any attachment or related step that must be notarized or sworn.
- How do I submit the Area Variance Application?
- Submit the completed application and required materials to the Town of Jerusalem Department of Code Enforcement and Administration at 3816 Italy Hill Rd., Jerusalem, New York 14418.
- What materials must accompany the application?
- The application lists a project narrative or summary, a site plan or survey, and a Short Environmental Assessment Form if applicable. It also includes an onsite staking checklist item.
- What fees does the application list?
- The application lists a $250 application fee and a $100 fee for each additional variance. Checks are payable to the Town of Jerusalem.
Need something notarized?
This Application for an Area Variance doesn’t need a notary — but if you have another Jerusalem form that does, a commissioned online notary can help.
