New Lebanon, NY · Columbia County

No notary required

Agricultural Data Statement

This statement collects project and nearby farm-operation information from applicants seeking certain municipal approvals for property in or near an agricultural district.

What this form is

New Lebanon requires an Agricultural Data Statement with applications for a special use permit, site plan approval, use variance, or subdivision approval when the property is in an agricultural district containing a farm operation or within 500 feet of one. The form asks about the application, applicant and property owner, project, parcel, agricultural district status, and nearby farm operations. The applicant and, if different, the owner sign it.

Who needs it

Applicants seeking a listed municipal approval for property in an agricultural district with a farm operation or within 500 feet of one need this statement.

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 document does not identify any notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Statement

    Download the Agricultural Data Statement for New Lebanon.

  2. 2

    Complete The Form

    Fill in the application type, applicant and owner details, project description, parcel information, and nearby farm operations.

  3. 3

    Gather Additional Sheets

    Attach additional sheets if needed to list farm operations within 500 feet of the parcel.

  4. 4

    Sign And Submit

    Have the applicant and, if different, the owner sign. Submit the statement to the city department named on the form.

Frequently asked questions

Who needs to complete the Agricultural Data Statement?
Applicants seeking a special use permit, site plan approval, use variance, or subdivision approval for qualifying property in or near an agricultural district must submit the statement.
What information does the statement request?
It asks for applicant and owner details, application type, project and parcel information, agricultural district status, and information about farm operations within 500 feet.
Do I need a notary for the Agricultural Data Statement?
No. The statement calls for signatures from the applicant and, if different, the owner; it does not identify a notarized attachment or sworn step.
How do I submit the Agricultural Data Statement?
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 New Lebanon form that does, a commissioned online notary can help.