Urbanna, VA · Middlesex County

No notary required

Application for Special Use Permit – Standard Form

Property owners or their agents use this application to request Town of Urbanna approval for a proposed special use of property.

What this form is

The application requests a special use permit for a property in Urbanna and asks about the applicant and owner, property location and zoning, existing use, and proposed changes. Applicants describe potential neighborhood impacts and how they will be addressed, and attach a site plan or plot plan and adjacent-owner information. The form lists application fees and says payment is required before action is taken.

Who needs it

A property owner proposing a special use, or an agent applying for the owner, needs this application; an agent must attach the owner’s written consent.

How to submit it

Submit the application to the Urbanna Zoning Administrator. Pay the applicable $300 Level 1 or $1,500 Level 2 application fee before action is taken; applicants are also responsible for advertising and adjacent-owner notification expenses.

About notarization

This application has no notary block; the signer signs and dates it, and an agent must swear and affirm having legally sufficient power of attorney.

How to submit this form

  1. 1

    Download The Application

    Download the Urbanna Application for Special Use Permit – Standard Form.

  2. 2

    Complete The Application

    Enter applicant and owner information, property details, zoning, existing uses, proposed changes, and responses about impacts and mitigation.

  3. 3

    Gather Required Attachments

    Include required site or plot plans, three copies of required plans, adjacent-owner names and addresses, and written owner consent if applying as an agent.

  4. 4

    Submit And Pay The Fee

    Submit the application to the Urbanna Zoning Administrator and pay the applicable application fee before action is taken.

Frequently asked questions

Do I need a notary for the Urbanna special use permit application?
No. The application has no notary block. An agent must swear and affirm having legally sufficient power of attorney, but the form does not specify notarization.
How do I submit the Urbanna special use permit application?
Submit it to the Urbanna Zoning Administrator. Pay the applicable Level 1 or Level 2 application fee before action is taken; applicants also cover advertising and adjacent-owner notification expenses.
What attachments does the special use permit application require?
Attach a site plan, plot plan, or survey plat showing existing and proposed structures and applicable setbacks, three copies of required plans, and the names and addresses of adjacent property owners. Agents must attach the owner's written consent.
What information does the application ask for?
It asks for applicant and property-owner details, the property location and zoning, existing and proposed uses, potential impacts and mitigation, prior conditions, and remarks.

Need something notarized?

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