Caroline, NY · Tompkins County

No notary required

Agricultural Data Statement

Applicants submit this statement with certain project approval applications when a project site is in or near an agricultural district containing a farm operation.

At a glance

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

What this form is

This statement accompanies an application for a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review when the project is in a certified agricultural district with a farm operation or within 500 feet of one. It records applicant and project details, farming on the site, and nearby farm-operation owners, and requires a current tax map showing the project site relative to those operations.

Who needs it

Applicants seeking a covered project approval for a site in an agricultural district with a farm operation or within 500 feet of one 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. Use those contact details to submit the completed statement.

About notarization

This statement is signed and dated without a notary; attach the current tax map showing the project site relative to the identified farm operations.

How to submit this form

  1. 1

    Download The Statement

    Download the Agricultural Data Statement PDF.

  2. 2

    Complete The Form

    Enter the applicant, project, site, acreage, farming, and nearby farm-operation owner information requested.

  3. 3

    Gather The Tax Map

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

  4. 4

    Sign And Date

    Have the person completing the form sign and date it; no notary is required.

  5. 5

    Submit To The City

    Submit the completed statement and tax map to the city department named on the form.

Frequently asked questions

What is the Agricultural Data Statement for?
It provides applicant, project, and nearby farm-operation information for certain applications requiring municipal review and approval.
Do I need a notary for the Agricultural Data Statement?
No. This statement is signed and dated without a notary. Attach the current tax 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. Include the required current tax map.

Need something notarized?

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