Special Use Permit Application (Gasoline Stations-Fillable Form)

Supporting Documents

PDF icon Special Use Permit Application (Gas Stations - pdf) (85 KB)

* Required - do not leave blank.  If no more information, please enter "None."

TO:

TOWN BOARD  
c/o TOWN CLERK  
363 UNDERHILL AVENUE  
YORKTOWN, NY  10598 

The undersigned, as owner of certain premises located on the

and known as 

on the Tax Map of the Town of Yorktown, does hereby make application for a Special Use Permit for:

Select all that apply: *

In the event the Permit is issued, the applicant will comply with all the requirements of the Zoning Ordinance and the Building Department Ordinance of the Town of Yorktown and with the requirements of any other local laws or ordinances, laws, rules, and regulations of any Federal, State, and County Government bureau or department thereof having jurisdiction over said premises and the business to be conducted thereat, in addition to such terms or conditions as may be imposed by the Yorktown Town Board.

Upload required project documents:
Click to download a blank copy of this form Short EAF .
Files must be less than 5 MB.
Allowed file types: pdf.
Files must be less than 20 MB.
Allowed file types: pdf.
Examples: architectural renderings, building plans, signage plans.
Files must be less than 20 MB.
Allowed file types: pdf.
Examples: architectural renderings, building plans, signage plans.
Files must be less than 20 MB.
Allowed file types: pdf.

All of the uploaded documents are made part of this application. The applicant must submit one (1) paper copy of all uploaded documents together with the required fee of $1,500.00 to the Town Clerk's office, located at Yorktown Town Hall, 363 Underhill Avenue, Yorktown, NY 10598, in order for this application to be processed. Payment may also be made by credit card (please contact our office for instructions (914)962-5722, ext. 210). Additional copies of said plans may be requested at a later date.

APPLICANT

  

PROPERTY OWNER
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