Mount Airy, NC · Surry County
Special Use Permit Application
Applicants use this form to request a special use permit in Mount Airy and provide project details and information for the Board of Adjustment.
What this form is
This application asks for project and parcel details, the proposed use, applicant and property owner contact information, and a description of the request. Applicants also provide facts and arguments addressing the factors the Board of Adjustment considers when deciding whether to approve a Conditional Use Permit. The form lists an application fee of $400.
Who needs it
A person seeking a special use permit in Mount Airy should complete the application with project information and arguments addressing the Board of Adjustment’s listed factors.
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 does not require a notary; the applicant and property owner provide signatures, and the form includes a date of application field.
How to submit this form
- 1
Download The Application
Download the Special Use Permit Application PDF.
- 2
Complete The Form
Fill in the project, parcel, proposed use, contact, and request information.
- 3
Address The Review Factors
Provide facts and arguments for the four factors listed for the Board of Adjustment.
- 4
Submit To The City
Submit the completed application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Mount Airy Special Use Permit Application request?
- It requests project and parcel details, the proposed use, applicant and property owner contact information, a description of the request, and facts and arguments addressing the Board of Adjustment’s listed factors.
- Do I need a notary for the Mount Airy Special Use Permit Application?
- No. The application has signature fields for the applicant and property owner but no notary block; the applicant signs, and the form includes a date of application field.
- How do I submit the Mount Airy Special Use Permit Application?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Special Use Permit Application doesn’t need a notary — but if you have another Mount Airy form that does, a commissioned online notary can help.