Patterson, NY · Putnam County
Agricultural Data Statement
This statement accompanies certain land-use applications near farm operations and is completed by the applicant and, if different, the property owner.
What this form is
Patterson requires this statement with a special use permit, site plan, use variance, or subdivision application when the property has a farm operation or is within 500 feet of one in a certified Agricultural District. It asks for project and applicant details, information about farming on the parcel and nearby farms, and signatures. Applicants must attach a list of certain nearby farm-operation landowners and a map showing the project site relative to identified farm operations.
Who needs it
Applicants for a special use permit, site plan, use variance, or subdivision in the stated proximity to a farm operation in a certified Agricultural District need 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 statement is signed and dated without a notary; it asks for applicant and, if different, owner signatures, and does not mention notarized or sworn attachments.
How to submit this form
- 1
Download The Statement
Download the Agricultural Data Statement PDF.
- 2
Complete The Statement
Provide the project, applicant, owner, acreage, and farm-operation information requested.
- 3
Gather The Attachments
Attach the required nearby landowner list and a tax map or other map showing the project site and identified farm operations.
- 4
Sign And Submit
Have the applicant and, if different, the owner sign and date the statement, then 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 statement asks the applicant and, if different, the owner to sign and date it. It does not mention notarized or sworn attachments.
- Who needs to complete this statement?
- Applicants for a special use permit, site plan, use variance, or subdivision must include it when the property has a farm operation or is within 500 feet of one in a certified Agricultural District.
- What attachments does the statement require?
- Attach a list of the names and addresses of qualifying nearby farm-operation landowners, plus a tax map or other map showing the project site relative to the identified farm 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 Patterson form that does, a commissioned online notary can help.