Jamestown, NC · Guilford County

No notary required

Notice of Appeal to Board of Adjustment Application

Property owners and other appellants use this application to ask Jamestown’s Board of Adjustment to review a Planning Director or administrator decision.

What this form is

This application asks the Board of Adjustment to review a Planning Director or designated administrator’s order, decision, determination, or interpretation. The form says it must be filed within 30 days of the decision’s issuance and requires the completed application, a review fee, maps or other exhibits, and information about nearby properties. It also asks the appellant to explain the facts or evidence showing the decision was in error.

Who needs it

Anyone appealing a Planning Director or designated administrator’s decision must submit this application, with signatures from each property owner or an authorized agent.

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; if an agent signs for an owner, include a Limited Power of Attorney signed by the owner and notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Notice of Appeal to Board of Adjustment Application.

  2. 2

    Complete And Sign The Form

    Provide the property, decision, and appellant details, explain the evidence for appeal, and obtain the required owner signatures.

  3. 3

    Gather Required Attachments

    Include the required maps or exhibits, nearby-property information, and review fee. If an agent signs for an owner, include the notarized Limited Power of Attorney.

  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

Do I need a notary for the Notice of Appeal to Board of Adjustment Application?
No. The application is signed without a notary, but an agent signing for an owner must include a Limited Power of Attorney signed by the owner and notarized.
How do I submit the appeal application?
Submit it to the city department named on the form; check the city website for current contact details. The form lists a review fee and required supporting materials.
When must I file a Notice of Appeal?
The form says the notice must be filed within 30 days of the issuance of the Planning Director’s or designated Administrator’s order, decision, determination, or interpretation.
What must accompany the application?
The form calls for maps, site plans, exhibits, or applications; a list of nearby properties and their owners’ details; and the review fee. It also asks the appellant to explain the facts or evidence for the appeal.

Need something notarized?

This Notice of Appeal to Board of Adjustment Application doesn’t need a notary — but if you have another Jamestown form that does, a commissioned online notary can help.