Monroe County, NY · Monroe County

No notary required

Agricultural Data Statement

This statement collects project and nearby farm-operation information for applicants seeking certain site plan, subdivision, special permit, or use variance approvals.

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 approval, subdivision approval, a special permit, or a use variance when the property is in an agricultural district with a farm operation or within 500 feet of one. It asks for applicant and project details, parcel information, and names and addresses of nearby landowners with farm operations. Attach a tax map showing the project site relative to those operations.

Who needs it

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

How to submit it

Include the statement with the qualifying application; the document says applications requiring it must be referred to the County Planning Department.

About notarization

This document is completed without a notary; attach the required tax map showing the project site and identified farm operations, and no sworn attachment is specified.

How to submit this form

  1. 1

    Download the Statement

    Download the Agricultural Data Statement PDF.

  2. 2

    Complete the Form

    Enter applicant, project, parcel, acreage, agricultural district, and project description details.

  3. 3

    Gather the Tax Map

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

  4. 4

    Submit with Your Application

    Include the statement with the qualifying application; required applications must be referred to the County Planning Department.

Frequently asked questions

What is the Agricultural Data Statement used for?
It provides project, parcel, and nearby farm-operation information for certain site plan, subdivision, special permit, or use variance applications.
Who needs to include this statement?
Applicants for the listed approvals must include it when the property is in an agricultural district with a farm operation or within 500 feet of one.
Do I need a notary for the Agricultural Data Statement?
No. This document is completed without a notary. Attach the required tax map showing the project site and identified farm operations; no sworn attachment is specified.
How do I submit the Agricultural Data Statement?
Include it with the qualifying application. The document says applications requiring the statement must be referred to the County Planning Department.

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.