Madison, NC · Rockingham County

No notary required

Application for Special Use Permit

Property owners and applicants use this application to request a special use permit from the Town of Madison.

What this form is

The application requests information about the applicant, property owner, proposed use, property location, zoning, buildings, project cost, and land to be disturbed. It also asks for a detailed explanation of the proposed use and requires a deed copy and a plot plan illustrating the request, with drawings and related project details. The form lists a $250 permit fee.

Who needs it

An applicant seeking a special use permit for property in Madison should complete this form and provide the requested deed copy and plot plan.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form lists a $250 permit fee.

About notarization

This application is signed without a notary; it lists no notarized attachment or sworn step, so the applicant signs the form.

How to submit this form

  1. 1

    Download The Application

    Download the special use permit application PDF.

  2. 2

    Complete The Form

    Provide applicant and owner details, property information, project details, and a detailed explanation of the proposed use.

  3. 3

    Gather Required Attachments

    Attach a copy of the deed and a plot plan illustrating the special use permit request.

  4. 4

    Submit To The City

    Submit the completed application and attachments to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the special use permit application request?
It asks for applicant and owner details, the property location and zoning, project information, and a detailed explanation of the proposed use.
What attachments does the application require?
The form directs applicants to attach a copy of the deed and a plot plan illustrating the request, including proposed site and building details.
Do I need a notary for the special use permit application?
No. This application is signed without a notary, and the form lists no notarized attachment or sworn step; the applicant signs the form.
How do I submit the special use permit application?
Submit it to the city department named on the form and check the city website for current contact details. The form lists a $250 permit fee.

Need something notarized?

This Application for Special Use Permit doesn’t need a notary — but if you have another Madison form that does, a commissioned online notary can help.