Livingston, NY · Columbia County

No notary required

Agricultural Data Statement

Applicants submit this statement with certain municipal land-use applications involving property in or near a farm operation in an Agricultural District.

What this form is

The statement accompanies an application for a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review when the property is in an Agricultural District containing a farm operation or within 500 feet of a farm operation there. It asks for applicant and project details, farming information, and nearby farm-operation owners. A current tax map showing the project site relative to identified farm operations must be attached.

Who needs it

Applicants for the listed municipal approvals need this statement when the project property is in or within 500 feet of a farm operation in an Agricultural District.

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 and dated without a notary; the form requests a current tax map attachment but does not say it must be notarized or sworn.

How to submit this form

  1. 1

    Download the Statement

    Download the Agricultural Data Statement PDF.

  2. 2

    Complete the Form

    Enter the applicant, project, site, acreage, farming, and nearby farm-owner information requested.

  3. 3

    Attach the Tax Map

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

  4. 4

    Sign and Submit

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

Frequently asked questions

Do I need a notary for the Agricultural Data Statement?
No. The form is signed and dated without a notary. It requests a current tax map attachment but does not say the map or any other step must be notarized or sworn.
Who needs to submit this statement?
Applicants seeking a special use permit, site plan approval, use variance, or subdivision approval may need to include it when the project property is in or near a farm operation in an Agricultural District.
What information and attachment does the form request?
It asks for applicant and project details, acreage and farming information, and nearby farm-operation owners. Attach a current tax map showing the proposed project site relative to the identified farm operations.
How do I submit the Agricultural Data Statement?
The document does not give a submission address or department. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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