Monroe County, NY · Monroe County

No notary required

Agricultural Data Statement

This statement accompanies certain land-use applications involving agricultural districts and farm operations, and is completed by the project applicant.

At a glance

Issued by
City of Monroe County · Monroe County, Monroe County, New York
Notarization
Not required: file this form without a notary.
Official source
monroecounty.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The statement is required with applications for site plan or subdivision approval, a special permit, or a use variance when the property is in an agricultural district containing a farm operation or within 500 feet of one. It asks for applicant and project details, parcel information, a project description, and information about nearby farm operations. The form also calls for an attached tax map.

Who needs it

An applicant for a listed land-use approval must include this statement when the project property meets the agricultural district and farm-operation conditions described on the form.

How to submit it

The document says applications requiring an Agricultural Data Statement must be referred to the County Planning Department, but gives no submission address or contact details.

About notarization

This document has no notary block, and it identifies no sworn attachment; it does not state that the signer must sign or date the statement.

How to submit this form

  1. 1

    Download the Statement

    Download the Agricultural Data Statement PDF.

  2. 2

    Complete Project Details

    Provide the applicant and project information requested, including parcel details and a project description.

  3. 3

    Gather the Tax Map

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

  4. 4

    Refer With Your Application

    Applications requiring the statement must be referred to the County Planning Department.

Frequently asked questions

What is the Agricultural Data Statement for?
It provides project and applicant details, parcel information, and information about nearby farm operations for certain land-use applications involving agricultural districts.
Who needs to include this statement?
Applicants seeking site plan or subdivision approval, a special permit, or a use variance must include it when the property meets the agricultural district and farm-operation conditions on the form.
How do I submit the Agricultural Data Statement?
The form says applications requiring the statement must be referred to the County Planning Department. It does not provide an address or other submission instructions.
Do I need a notary for the Agricultural Data Statement?
No. The statement has no notary block and identifies no sworn attachment; it does not state that the signer must sign or date it.

Need something notarized?

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