Germantown, NY · Columbia County

No notary required

Agricultural Data Statement

This Agricultural Data Statement accompanies certain land-use applications in Germantown and is completed by applicants whose proposed project meets the form’s agricultural-district criteria.

What this form is

The statement is included with applications for special use permits, site plan approval, use variances, or subdivision approval requiring municipal review when the project site meets the agricultural-district or nearby-farm criteria listed on the form. It records applicant and project details, acreage and farming status, and nearby farm-operation owners. The applicant must attach a current tax map showing the project site relative to identified farm operations.

Who needs it

Applicants for qualifying special use permits, site plan approvals, use variances, or subdivisions complete this statement when the project meets the form’s agricultural-district criteria.

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 statement is signed and dated without a notary; the form requires a current tax map attachment showing the project site relative to identified farm operations.

How to submit this form

  1. 1

    Download The Statement

    Download the Agricultural Data Statement PDF.

  2. 2

    Complete The Form

    Provide applicant, project, site, acreage, farming-status, and nearby farm-owner information requested on the form.

  3. 3

    Gather The Tax Map

    Attach a current tax map showing the project site relative to the identified farm operations.

  4. 4

    Submit To The City

    Submit the statement and map to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Agricultural Data Statement?
No. The statement is signed and dated without a notary; it does require a current tax map showing the project site relative to identified farm operations.
How do I submit the Agricultural Data Statement?
The form does not give submission details. Submit it to the city department named on the form and check the city website for current contact details.
Who needs to complete this statement?
Applicants for certain special use permits, site plan approvals, use variances, or subdivision approvals complete it when the project meets the agricultural-district criteria on the form.
What attachment does the statement require?
Attach a copy of the current tax map showing the proposed project site relative to the farm operations identified in the statement.

Need something notarized?

This Agricultural Data Statement doesn’t need a notary — but if you have another Germantown form that does, a commissioned online notary can help.