Ada, OK · Pontotoc County
Board of Adjustment Hearing Appeal Application
This application asks the City of Ada Board of Adjustment to hear an appeal from a city inspector’s decision and is filed by the person appealing that decision.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this two-page form to appeal a City of Ada inspector’s decision to the Board of Adjustment. It asks for the appellant’s contact information, the site and property owner details, the decision being challenged, and the reasons the appellant believes the decision or interpretation is in error. The form says an appeal must be made within 30 days of the decision and includes a $200 filing-fee receipt section for the City Clerk.
Who needs it
A person appealing a City of Ada inspector’s decision should complete this application and provide the requested site information and reasons for the appeal.
Why it needs a notary
The application carries a subscribed-and-sworn jurat; the applicant or applicants sign and swear to the statement before the notary.
How to get this notarized
- 1
Download The Application
Get the Board of Adjustment hearing appeal application from the City of Ada.
- 2
Complete The Form
Provide appellant and site information, the inspector’s decision, and specific reasons for the appeal.
- 3
Book An Online Notary
Arrange a remote notarization for the application’s subscribed-and-sworn jurat.
- 4
Sign On Video
Sign and swear to the application before the notary during the online session.
- 5
Submit To The City
File the application with the City of Ada and address the $200 fee as directed on the form.
Preview the form
The blank PDF straight from Ada. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I appeal an inspector’s decision in Ada?
- Complete the application with the decision, site details, and specific reasons for appeal. The form says an appeal must be made within 30 days of the decision and includes a $200 filing-fee section.
- Do I need to sign this application before a notary?
- Yes. The form includes a subscribed-and-sworn jurat, so the applicant or applicants must sign and swear to the statement before a notary.
- Can I use a commissioned online notary?
- Oklahoma allows its notaries to perform remote online notarizations after separate registration. Oklahoma law also recognizes notarial acts performed by authorized officers of another state. Confirm the city will accept your notarized form.
- Where do I pay the application fee?
- The form states that a $200 application filing fee is paid at the City Clerk’s office and provides a section for the City Clerk or Deputy City Clerk to record payment. Confirm with the city or county clerk if unsure.
