Centralia, WA · Lewis County

No notary required

Special Use Permit Application

Property owners or applicants use this application to request a Centralia special use permit and describe the proposed land use and its potential neighborhood impacts.

What this form is

This application is for a proposed land use that needs a Special Use Permit in Centralia. Applicants describe the property and proposed use, answer questions about structures, operations, parking, landscaping, and development timing, and estimate traffic. The application explains that the Hearing Examiner considers the proposal and may impose conditions; applicants should address applicable Special Use criteria and include the requested site plan information.

Who needs it

A property owner or applicant proposing a use in Centralia that requires a Special Use Permit 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; the applicant or owner signs and dates the application.

How to submit this form

  1. 1

    Download The Application

    Download the Special Use Permit Application.

  2. 2

    Complete The Application

    Provide the property, proposed-use, operations, parking, landscaping, schedule, and traffic information requested.

  3. 3

    Prepare Site Plan Information

    Include the requested information about proposed additions and existing structures on your site plan drawing.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the city department named on the form.

Frequently asked questions

What does the Special Use Permit Application ask for?
It asks about the property and proposed use, existing and planned structures, operating details, parking, landscaping, development timing, and anticipated traffic.
Who should complete this application?
A property owner or applicant proposing a use in Centralia that requires a Special Use Permit should complete the application.
Do I need a notary for the Special Use Permit Application?
No. This document is signed without a notary; the applicant or owner signs and dates the application.
How do I submit the Special Use Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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