Middletown, VA · Frederick County
Special Use Permit Application
Property owners and applicants use this application to request a Special Use Permit from the Town of Middletown for a proposed property use.
What this form is
This application requests a Special Use Permit determination from the Middletown Planning Commission and Town Council for a proposed property use. Applicants must consult or meet with staff first; without that step, the application will not be complete or accepted. The form asks about the applicant, property, proposed use, site conditions, and environmental impacts, and lists required attachments, including a statement of justification, a concept or sketch plan, and ownership information.
Who needs it
Applicants seeking a Special Use Permit for a property in Middletown must consult with staff and submit this application with the required documents.
How to submit it
Consult or meet with staff first, then submit the completed application, required documents, and $600 fee to the Planning Office; checks are payable to the Town of Middletown.
About notarization
This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Special Use Permit Application PDF and review its instructions and required-items checklist.
- 2
Consult With Staff
Consult or meet with staff to review the request and determine whether a Special Use Permit or other procedures are required.
- 3
Complete And Sign
Fill in the applicant, property, proposed-use, and environmental information, then sign and date the application.
- 4
Gather Required Documents
Prepare the required checklist items, such as a statement of justification, concept or sketch plan, deed copy, and tax-payment statement.
- 5
Submit To The Planning Office
Submit the completed application, required documents, and $600 fee to the Planning Office; make checks payable to the Town of Middletown.
Frequently asked questions
- What does the Middletown Special Use Permit Application ask for?
- It asks for applicant and property details, the proposed use, site and environmental information, and signatures. The application also lists required supporting documents.
- What documents must accompany the application?
- The checklist includes a statement of justification, agency review comments as determined by Planning Staff, a concept or sketch plan, ownership and tax information, and other listed materials.
- Do I need a notary for the Special Use Permit Application?
- No. This application is signed and dated without a notary. It lists no notarized or sworn attachment, so the signer just signs and dates it.
- How do I submit the Special Use Permit Application?
- Consult or meet with staff first, then submit the completed application, required documents, and $600 fee to the Planning Office. Checks are payable to the Town of Middletown.
