Pinetops, NC · Edgecombe County
Special Use Permit Application
This application requests a special use permit from the Town of Pinetops and is completed by the applicant or, when required, the property owner.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to ask the Town of Pinetops Board of Planning and Adjustment to approve a proposed special use at a property. The application requests property, contact, and proposed-use details, explanations of how the use meets listed requirements, and supporting items including a GIS map and site-specific development plan. If the applicant is neither the owner nor a person with a binding option to purchase, the property owner must complete the owner authorization section.
Who needs it
Applicants seeking a special use permit in Pinetops should complete the application, and property owners must complete the owner section when the applicant lacks ownership or a binding purchase option.
Why it needs a notary
The form contains acknowledgment blocks for the applicant and property owner, with each signer personally appearing before the notary and acknowledging a voluntary signature.
How to get this notarized
- 1
Download the Application
Get the Town of Pinetops Special Use Permit Application and review its application and owner authorization instructions.
- 2
Complete the Form
Fill in the applicant, contact, property, and proposed-use details and explain how the proposed use meets the listed requirements.
- 3
Gather Supporting Items
Prepare the application and public notice fee, property GIS map, and site-specific development plan listed on the form.
- 4
Book an Online Notary
Arrange an appointment with a commissioned online notary and check with the town about accepting online notarization.
- 5
Sign on Video
Appear before the notary and acknowledge your signature. The property owner should also sign and acknowledge the owner section when required.
- 6
Submit to the Town
Submit the completed application and supporting items to the Town of Pinetops as instructed by the town.
Preview the form
The blank PDF straight from Pinetops. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the Pinetops special use permit application?
- Enter the applicant, property, and proposed-use information, explain how the proposal meets the listed requirements, and include the requested application items. Complete the owner authorization section when the form instructions require it.
- Do I need to notarize this application?
- Yes. The form includes acknowledgment blocks for the applicant and, when applicable, the property owner. Each signer acknowledges their signature before a notary.
- Can I use a commissioned online notary for this form?
- North Carolina has enacted a remote electronic notarization law for its own notaries, but that program has not launched. Emergency video notarization requires the signer and notary to be in North Carolina. Confirm whether the town accepts your notarized form; confirm with the city or town if unsure.
- What supporting items does the application list?
- The form lists an application and public notice fee, a GIS map of the property, and a site-specific development plan, including the general design of the building interior.
Special Use Permit Application in other North Carolina cities
Each city publishes its own version of this form. Pick the city where you’re filing.