Clarks Summit, PA · Lackawanna County

No notary required

Board Of Appeals Application

Clarks Summit applicants use this application to request a variance, an extension of time, or an appeal before the Borough Board of Appeals.

What this form is

This application asks the applicant to select a hearing type and provide contact information, property details, the relevant ordinance sections, and grounds for the request. It also has spaces for different property-owner information and an applicant’s attorney, if applicable. The form includes borough-use fields for the fee, payment, and receipt information, but does not state when or how to submit it.

Who needs it

A person requesting a variance, extension of time, or appeal from the Clarks Summit Borough Board of Appeals should complete 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 document is signed without a notary; it lists no notarized attachment or sworn step, and provides signature lines for the applicant and, if different, property owner.

How to submit this form

  1. 1

    Download The Application

    Download the Board of Appeals Application PDF.

  2. 2

    Complete The Application

    Select a hearing request and fill in the applicant, property, ordinance-section, and grounds information.

  3. 3

    Gather Attachments

    The application does not list attachments to gather.

  4. 4

    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

What can I request with the Board of Appeals Application?
The form lists three hearing requests: a variance, an extension of time, or an appeal.
What information does the application ask for?
It asks for applicant and property information, the existing property use and location, tax map number, zoning district, relevant ordinance sections, and grounds for the request.
Do I need a notary for the Board of Appeals Application?
No. The application has signature lines but no notary block, and it lists no notarized attachment or sworn step.
How do I submit the Board of Appeals Application?
The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Board Of Appeals Application doesn’t need a notary — but if you have another Clarks Summit form that does, a commissioned online notary can help.