Kernersville, NC · Forsyth County
Board of Adjustment Application (Variance, Appeal, or Special Use Permit)
Property owners or agents use this application to request a variance, appeal a zoning decision, or seek a special use permit from Kernersville’s Board of Adjustment.
What this form is
This application is for property owners or agents seeking a variance, appealing a zoning decision, or requesting a special use permit from the Board of Adjustment. It asks for property and contact information, supporting site plans or other evidence, and responses to standards for the selected case type. Submit a signed application and required materials; the form also calls for a check or cash payment according to the town fee schedule.
Who needs it
A property owner or agent seeking a variance, appealing a zoning decision, or requesting a special use permit from the Board of Adjustment needs this application.
How to submit it
Submit the completed, signed application and required materials to Staff, with a check payable to the Town of Kernersville or cash for the amount set by the town fee schedule.
About notarization
This application is signed and dated without a notary; the form 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 Board of Adjustment application PDF.
- 2
Complete And Sign
Provide the property and contact information, complete the section for your case type, and sign and date the application.
- 3
Gather Supporting Materials
Include a site plan when required and supporting documentation or evidence for your variance, appeal, or special use permit request.
- 4
Submit To Staff
Submit the application and materials to Staff with a check payable to the Town of Kernersville or cash for the fee schedule amount.
Frequently asked questions
- What can I request with the Board of Adjustment application?
- Use the application to request a variance, appeal a zoning decision, or seek a special use permit from Kernersville’s Board of Adjustment.
- How do I submit the Board of Adjustment application?
- Submit the signed application, required materials, and check or cash payment to Staff. The amount is set according to the Town of Kernersville fee schedule.
- Do I need a notary for the Board of Adjustment application?
- No. This application is signed and dated without a notary. The form does not identify any attachment or related step that must be notarized or sworn.
- What materials must I include with my application?
- Include the signed application, a site plan when required or submitted as evidence, and supporting documentation addressing the standards for your case type. A fee payment is also required.
Need something notarized?
This Board of Adjustment Application (Variance, Appeal, or Special Use Permit) doesn’t need a notary — but if you have another Kernersville form that does, a commissioned online notary can help.