Middletown, VA · Frederick County

No notary required

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. 1

    Download The Application

    Download the Special Use Permit Application PDF and review its instructions and required-items checklist.

  2. 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. 3

    Complete And Sign

    Fill in the applicant, property, proposed-use, and environmental information, then sign and date the application.

  4. 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. 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.

Need something notarized?

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