Middlesex, NY · Yates County

No notary required

Zoning Board of Appeals Special Use Permit Application

This application is for property owners or applicants seeking a special use permit from the Town of Middlesex Zoning Board of Appeals.

What this form is

Use this application to request a special use permit from the Town of Middlesex Zoning Board of Appeals. It asks for applicant and property-owner contact information, property details, and the proposed use, along with signatures and explanations addressing the permit criteria. The submission checklist calls for supporting materials, including a survey map or detailed drawing and a Short Environmental Assessment Form.

Who needs it

Applicants seeking a special use permit from the Town of Middlesex Zoning Board of Appeals should complete this application and assemble the listed supporting materials.

How to submit it

Submit the documents to the Code Enforcement Office at 1216 Route 245, PO Box 147, Middlesex, NY 14507. Deliver printed maps in person; submit other documents in person or digitally to both listed email addresses.

About notarization

This application is signed and dated without a notary; the form asks the applicant and, if applicable, property owner to sign and date it.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Middlesex Zoning Board of Appeals Special Use Permit Application.

  2. 2

    Complete The Application

    Provide applicant and property information, describe the special use sought, and sign and date the application.

  3. 3

    Gather Supporting Materials

    Use the checklist to assemble the required map or drawing, environmental form, application fee, and any applicable additional materials.

  4. 4

    Submit To The Code Enforcement Office

    Deliver printed maps in person. Submit other documents in person or digitally to both email addresses listed on the form.

Frequently asked questions

Do I need a notary for the Middlesex special use permit application?
No. This application is signed and dated without a notary; the applicant and, if applicable, property owner sign the form.
How do I submit the special use permit application?
Submit documents to the Code Enforcement Office. Printed maps must be delivered in person; other documents may be submitted in person or digitally to both emails listed on the form.
What materials accompany the application?
The checklist calls for six sets of a survey map or detailed drawing, a Short Environmental Assessment Form, an application fee, and other listed materials when applicable.
When are submissions due?
The form states that submissions are due three weeks before the Zoning Board of Appeals meeting date, which is the first Thursday of each month.

Need something notarized?

This Zoning Board of Appeals Special Use Permit Application doesn’t need a notary — but if you have another Middlesex form that does, a commissioned online notary can help.