Jerusalem, NY · Yates County
Application for a Use Variance
Property owners use this application to ask Jerusalem’s Zoning Board of Appeals to consider a variance when a proposed use is not permitted in the property’s zoning district.
What this form is
The application petitions the Town of Jerusalem Zoning Board of Appeals for a use variance when the Code Enforcement Officer determines a proposed use is not permitted or is not a special use in the applicable zoning district. It asks for property and applicant details, the proposed use and zoning provisions involved, and responses to four hardship criteria. Applicants must include a project narrative, site plan or survey, environmental forms, supporting evidence, and other applicable materials.
Who needs it
A property owner seeking permission for a proposed use that is not permitted or is not a special use in the property’s zoning district needs this application.
How to submit it
Submit the completed application and required materials to the Department of Code Enforcement and Administration, 3816 Italy Hill Rd., Jerusalem, New York 14418. Include a $250 application fee and $100 for each additional variance, payable by check to the Town of Jerusalem.
About notarization
The owner signs and dates this application without a notary; the document does not identify any notarized or sworn attachment.
How to submit this form
- 1
Download the Application
Download the Use Variance Application PDF.
- 2
Complete the Application
Fill in the project and applicant information, describe the proposed use, and answer the four hardship criteria.
- 3
Gather Required Materials
Include the listed narrative, site plan or survey, environmental forms, supporting evidence, and any applicable Agricultural Data Statement.
- 4
Submit to the Town
Submit the signed application and materials to the Department of Code Enforcement and Administration at the address shown on the form.
Frequently asked questions
- Do I need a notary for the Use Variance Application?
- No. The owner signs and dates the application without a notary, and the document does not identify any notarized or sworn attachment.
- How do I submit the Use Variance Application?
- Submit it with the required materials to the Department of Code Enforcement and Administration at 3816 Italy Hill Rd., Jerusalem, New York 14418.
- What materials must accompany the application?
- The document lists a project narrative or summary, site plan or survey, two environmental assessment forms, supporting evidence, and an Agricultural Data Statement if the property is in a certified agricultural district.
- What fees does the application list?
- The application lists a $250 application fee and $100 for each additional variance. Checks are payable to the Town of Jerusalem.
Need something notarized?
This Application for a Use Variance doesn’t need a notary — but if you have another Jerusalem form that does, a commissioned online notary can help.