Middlesex, NY · Yates County
Agricultural Data Statement
Applicants submit this statement with certain municipal review applications for property within 500 feet of a farm operation in a certified Agricultural District.
What this form is
The Town requires this statement for a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review when the property is within 500 feet of a farm operation in a certified Agricultural District. It asks for applicant, owner, and property details, project information, nearby farm operations, and signatures. Attach a tax map showing the proposed project relative to the identified farm operations.
Who needs it
Applicants seeking one of the listed approvals for property within 500 feet of a farm operation in a certified Agricultural District must complete 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 signed without a notary; the applicant and, if different, owner sign, and the form requires an attached tax map.
How to submit this form
- 1
Download The Form
Download the Agricultural Data Statement PDF.
- 2
Complete The Statement
Provide applicant, owner, property, application type, project, and nearby farm-operation information.
- 3
Gather The Attachment
Attach a tax map showing the proposed project relative to the farm operations identified.
- 4
Sign And Submit
Have the applicant and, if different, the owner sign. Submit it to the city department named on the form.
Frequently asked questions
- What is the Agricultural Data Statement for?
- It provides applicant, property, project, and nearby farm-operation information for certain applications requiring municipal review in a certified Agricultural District.
- Do I need a notary for the Agricultural Data Statement?
- No. The applicant and, if different, property owner sign without a notary. Attach a tax map showing the proposed project 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. The document does not list a specific submission address or email.
- What should I attach to the statement?
- Attach a tax map showing the proposed project site relative to the farm operations identified on the statement. Additional sheets may be attached to list more farm operations.