Cambria, NY · Niagara County

No notary required

Agricultural Data Statement

Applicants seeking certain land-use approvals complete this statement to identify nearby farm operations and provide project details to Cambria.

What this form is

The Agricultural Data Statement records the applicant, project location and specifications, and nearby farm operations within 500 feet of the proposed project boundary. The document says it must accompany applications for Special Use Permits, Site Plan Approvals, Use Variances, and Subdivision Approvals when adjacent farm operations exist within that distance. It also requests a map showing the project site relative to those operations.

Who needs it

Applicants for the listed land-use approvals need this statement when farm operations exist within 500 feet of the proposed project boundary.

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 without a notary; the applicant signs the statement and attaches a map showing the proposed project site and identified farm operations.

How to submit this form

  1. 1

    Download The Statement

    Download the Agricultural Data Statement PDF for Cambria.

  2. 2

    Complete The Applicant And Project Details

    Enter the applicant name and address, project location and specifications, and requested nearby farm-operation owner details.

  3. 3

    Attach The Map

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

  4. 4

    Sign And Submit

    Sign the statement and submit it to the city department named on the form.

Frequently asked questions

Do I need a notary for the Agricultural Data Statement?
No. The applicant signs the statement without a notary and attaches a map showing the proposed project site relative to the identified farm operations.
Who must submit an Agricultural Data Statement?
Applicants for Special Use Permits, Site Plan Approvals, Use Variances, or Subdivision Approvals must submit it when adjacent farm operations exist within 500 feet of the project boundary.
What information does the statement request?
It asks for applicant and project details, names and addresses of owners of nearby lands with farm operations, and a map showing the project site relative to those operations.
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 Cambria form that does, a commissioned online notary can help.