Wyoming County, NY · Wyoming County

No notary required

Agricultural Data Statement

Applicants seeking certain municipal approvals for projects near farm operations in a certified agricultural district use this statement to provide project and nearby farm information.

At a glance

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

What this form is

The statement must accompany an application for a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review when the property is in a certified agricultural district containing a farm operation or within 500 feet of one. It asks for applicant and project details, nearby farm-operation owners, and a map locating the project in relation to those operations.

Who needs it

Applicants seeking one of the listed municipal approvals for property in or near a certified agricultural district with a farm operation must include this statement.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details.

About notarization

This statement is signed and dated without a notary; the applicant must attach a tax map or other map showing the project and identified farming operations.

How to submit this form

  1. 1

    Download the Statement

    Download the Agricultural Data Statement PDF.

  2. 2

    Complete the Project Details

    Provide applicant and project information, describe the proposed project, and answer the questions about acreage and current farming.

  3. 3

    Gather the Map and Farm Information

    List nearby farm-operation owners and attach a tax map or other map showing the project in relation to the identified farming operations.

  4. 4

    Sign and Submit

    Sign and date the statement, then include it with the qualifying application and submit it to the county department named on the form.

Frequently asked questions

Do I need a notary for the Agricultural Data Statement?
No. The statement has a space for the applicant’s signature and date, but no notary block. Attach a tax map or other map showing the project in relation to the identified farming operations.
Who must include an Agricultural Data Statement?
Applicants for a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review must include it when the property is in a certified agricultural district with a farm operation or within 500 feet of one.
What information and attachments does the statement ask for?
It asks for applicant contact details, the project address and tax map number, a project description, acreage affected, farming status, and nearby farm-operation owners. Attach a tax map or other map showing the project and those operations.
How do I submit the Agricultural Data Statement?
The document says the statement must be included with the qualifying application, but does not provide submission contact details. Submit it to the county department named on the form and check the county website for current contact details.

Need something notarized?

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