Jerusalem, NY · Yates County

No notary required

Planning/Zoning Appeals Application

This application lets property applicants petition Jerusalem’s Planning Board and/or Zoning Board of Appeals for a variance, appeal, interpretation, special use, or site plan.

What this form is

Use this application to petition the Town of Jerusalem Planning Board and/or Zoning Board of Appeals for an area variance, appeal of a Building Inspector decision, use variance, interpretation, special use, or site plan. It asks for property location and tax map details, the proposed request, applicant and owner contact information, and any attached site plan, construction plans, or other documentation.

Who needs it

Applicants seeking one of the listed zoning or planning board actions for a property in the Town of Jerusalem should complete 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 application is signed without a notary; the form asks for the owner’s signature if the owner is not the applicant and identifies no sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Planning/Zoning Appeals Application.

  2. 2

    Complete The Application

    Enter the property, proposed request, applicant, and owner information requested on the form.

  3. 3

    Gather Attachments

    Attach a site plan, construction plans, or other documentation, as applicable.

  4. 4

    Submit The Application

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

Frequently asked questions

What is the Planning/Zoning Appeals Application for?
It petitions the Planning Board and/or Zoning Board of Appeals for a listed action, including a variance, appeal, interpretation, special use, or site plan.
What information and attachments does the application ask for?
It asks for property and applicant details, the proposed request, and any attached site plan, construction plans, or other documentation.
Do I need a notary for the Planning/Zoning Appeals Application?
No. This application is signed without a notary. It asks for the owner’s signature if the owner is not the applicant and identifies no sworn or notarized attachment.
How do I submit the Planning/Zoning Appeals Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Planning/Zoning Appeals Application doesn’t need a notary — but if you have another Jerusalem form that does, a commissioned online notary can help.