Brookville, OH · Montgomery County

No notary required

Zoning Application for a Special Use Permit

Property owners or other applicants use this application to request a special use permit and provide information about the proposed use and affected property.

What this form is

The application requests a special use permit based on the information provided by the applicant. To have the application processed, the applicant must provide a narrative evaluating potential effects on adjoining properties, compatibility with nearby properties, and the proposed use’s relationship to the Zoning District Map. It also asks for applicant and property details, zoning information, and any previous special use permit application.

Who needs it

Anyone applying for a special use permit for a property in Brookville should complete this application and provide the required narrative statement.

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 and dated without a notary; it requests a narrative statement but specifies no sworn or notarized attachment.

How to submit this form

  1. 1

    Download the Application

    Download the Special Use Permit Application PDF.

  2. 2

    Complete the Application

    Enter applicant, property, zoning, and proposed-use information, and answer the question about previous applications.

  3. 3

    Prepare the Narrative

    Provide the required narrative about potential effects, compatibility with nearby properties, and the proposed use’s relationship to the Zoning District Map.

  4. 4

    Sign and Date

    Sign and date the application.

  5. 5

    Submit to the City

    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 Special Use Permit Application?
No. The application has a signature and date line but no notary block. It requests a narrative statement and specifies no sworn or notarized attachment.
What information does the application request?
It asks for applicant contact details, property location and legal description, current zoning, the proposed special use, and information about any previous application.
What narrative must accompany the application?
The applicant must provide a narrative evaluating effects such as noise, odor, fumes, and vibrations on adjoining property, compatibility with other properties, and the proposed use’s relationship to the Zoning District Map.
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.

Need something notarized?

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