Darien, NY · Genesee County

No notary required

Agricultural Data Statement

Darien applicants use this form with certain land-use applications to report nearby farm operations and other agricultural information about the project property.

What this form is

The form states that it must be completed for certain special use permit, variance, or subdivision approval applications involving property within 500 feet of a farm operation in a certified Agricultural District. It asks for applicant and owner details, the application type and project location, and information about the property and nearby farm operations. The form also notes that a copy must accompany the referral to the County Planning Department.

Who needs it

Applicants for the listed land-use approvals involving property within 500 feet of a farm operation in a certified Agricultural District must complete this statement.

How to submit it

Submit a copy with the referral to the County Planning Department. The form does not provide an address or other submission details.

About notarization

This document is signed and dated without a notary; it identifies no notarized or sworn attachment, so the applicant and owner, if different, sign.

How to submit this form

  1. 1

    Download The Statement

    Download the Agricultural Data Statement form.

  2. 2

    Complete The Form

    Enter applicant and owner details, application type, project location, and the requested agricultural information.

  3. 3

    Gather Additional Sheets

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

  4. 4

    Submit With The Referral

    Submit a copy with the referral to the County Planning Department.

Frequently asked questions

What is the Agricultural Data Statement for?
It collects project and property details, including information about nearby farm operations, for certain land-use applications involving property near a farm operation in a certified Agricultural District.
Who needs to complete this form?
Applicants for the listed special use permit, variance, or subdivision approval applications must complete it when the property is within 500 feet of a farm operation in a certified Agricultural District.
Do I need a notary for the Agricultural Data Statement?
No. This document is signed and dated without a notary; it identifies no notarized or sworn attachment, so the applicant and owner, if different, sign.
How do I submit the Agricultural Data Statement?
Submit a copy with the referral to the County Planning Department. The form does not provide an address or other submission details.

Need something notarized?

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