Roosevelt, UT · Duchesne County
Agricultural Exemption Acknowledgement
This form records an owner’s request for an agricultural building permit exemption and is filed by property owners proposing a qualifying agricultural structure.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form collects owner, parcel, project, and proposed building details, along with answers about agricultural use, human occupancy, and code-related work. Owners complete and sign the acknowledgement and submit it with the requested site plan, floor plan, and building elevations. The form also asks for subdivision and acreage information when the property is in a platted subdivision.
Who needs it
Property owners proposing a structure for agricultural use should complete this form and provide the listed plans and property information with their exemption application.
Why it needs a notary
The form carries an acknowledgment block stating the owner personally appeared, swore to ownership, and acknowledged the instrument before a notary public.
How to get this notarized
- 1
Download the Form
Get the Agricultural Exemption Acknowledgement from Roosevelt City.
- 2
Complete the Application
Enter owner, parcel, and project details, answer the qualifying questions, and initial each owner statement.
- 3
Gather Supporting Plans
Prepare the detailed site plan, floor plan, and building elevations listed in the form.
- 4
Book an Online Notary
Schedule a remote notarization and have the property owner ready to sign before the notary.
- 5
Sign on Video
Complete the acknowledgment with the notary during the online appointment.
- 6
Submit to the City
Send the signed form and required supporting materials to the city for review.
Preview the form
The blank PDF straight from Roosevelt. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the agricultural exemption acknowledgement?
- Fill in the owner and project details, answer the qualifying-condition questions, initial each owner statement, and sign the form before a notary. Include the plans and other information listed in the submission requirements.
- Do I need to submit plans with this form?
- Yes. The form lists a detailed site plan, floor plan, and building elevations as submission requirements. It also requests subdivision name and parcel acreage if the property is in a platted subdivision.
- Can I sign this form with an online notary?
- Utah allows remote notarization by a commissioned online notary. Check with the city about accepting a remotely notarized form, and confirm with the city or county recorder if unsure.
- Who signs the notary acknowledgment?
- The form’s acknowledgment is for the property owner. The owner personally appears before the notary, swears to ownership of the described property, and acknowledges the instrument.