Scriba, NY · Oswego County

No notary required

Agricultural Data Statement

This statement collects project and nearby farm-operation information for applicants seeking certain approvals on or near property in an Agricultural District.

What this form is

The statement accompanies applications for a special permit, site plan approval, use variance, or subdivision approval when the property is in an Agricultural District with a farm operation or within 500 feet of one. It asks for the applicant, project, parcel, and nearby farm-operation owners’ details, and requires a tax map showing the proposed project relative to identified farm 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, must include 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 document is completed without a notary; it names no notarized attachment or related sworn step, and it does not specify a signature or date field.

How to submit this form

  1. 1

    Download The Statement

    Download the Agricultural Data Statement PDF.

  2. 2

    Complete The Project Details

    Provide the applicant, project, proposed-project location, and nearby farm-operation owner information requested.

  3. 3

    Attach The Tax Map

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

  4. 4

    Submit With Your Application

    Include the statement with the relevant approval application and submit it to the city department named on the form.

Frequently asked questions

What is the Agricultural Data Statement for?
It provides project details and information about nearby farm operations for certain approval applications involving property in or near an Agricultural District.
Who needs to submit this statement?
Applicants for a special permit, site plan approval, use variance, or subdivision approval must include it when the property meets the Agricultural District and farm-operation conditions stated on the form.
Do I need a notary for the Agricultural Data Statement?
No. The document has no notary block and identifies no notarized attachment or sworn step; it also does not specify a signature or date field.
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. The form also says to attach a tax map.

Need something notarized?

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