Pilot Mountain, NC · Surry County

No notary required

Special Use Permit Application

Applicants use this form to request a special use permit from the Town of Pilot Mountain and explain how their proposal meets the listed review factors.

What this form is

This application is for requesting a special use permit from the Town of Pilot Mountain. It asks for project and property details, the proposed use, contact information and signatures, plus the applicant’s arguments addressing factors the Planning & Zoning Board considers. The form also includes spaces for the Planning & Zoning Board meeting date and decision.

Who needs it

An applicant seeking a special use permit for a proposed development or use in the Town of Pilot Mountain needs this application.

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; it lists no notarized or sworn attachment, so the applicant and property owner provide signatures.

How to submit this form

  1. 1

    Download the Application

    Download the Special Use Permit Application PDF.

  2. 2

    Complete the Project Details

    Enter the project, property, proposed use, and applicant and property owner contact information.

  3. 3

    Explain the Request

    Describe the request and provide arguments addressing the factors listed for the Planning & Zoning Board.

  4. 4

    Sign and Submit

    Provide the required signatures and submit the application to the city department named on the form.

Frequently asked questions

What does the Special Use Permit Application ask for?
It requests project and property details, the proposed use, applicant and property owner contact information and signatures, and written arguments addressing the Board’s review factors.
Who uses this application?
An applicant requesting a special use permit for a proposed development or use in the Town of Pilot Mountain uses this application.
How do I submit the Special Use Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.
Do I need a notary for the Special Use Permit Application?
No. The application has signature lines but no notary block, and it lists no notarized or sworn attachment; the applicant and property owner provide signatures.

Need something notarized?

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