Perry, NY · Wyoming County

No notary required

Agricultural Data Statement

Applicants seeking certain municipal approvals for projects near farm operations in an Agricultural District use this statement to provide project and nearby farm information.

At a glance

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

What this form is

The statement accompanies applications for special use permits, site plan approval, use variances, or subdivision approval when the project is in a specified location near a farm operation in a Certified Agricultural District. It asks for applicant and project details, acreage, farming information, and information about nearby farm operations. The applicant must attach a current tax map showing the proposed project site and identified farm operations.

Who needs it

Applicants seeking one of the listed municipal approvals for a project in or near 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 completed and dated without a notary; attach a 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

    Provide the applicant, project, site, acreage, and farm operation information requested.

  3. 3

    Gather The Tax Map

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

  4. 4

    Submit To The City

    Submit the completed statement and map to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Who uses the Agricultural Data Statement?
Applicants seeking special use permit, site plan, use variance, or subdivision approval may need this statement when a project is in or near a farm operation in a Certified Agricultural District.
What information does the statement request?
It asks for applicant and project details, the project site's tax map number, acreage, whether the site is farmed, and information about nearby farm operations.
Do I need a notary for the Agricultural Data Statement?
No. The statement is completed and dated without a notary. Attach a current tax map showing the proposed 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. Attach the required current tax map.

Need something notarized?

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