NY State Department of Agriculture and Markets
AGRICULTURAL DISTRICT REVIEW WORKSHEET

Please complete this form if you are an agricultural or non-agricultural landowner. The information obtained from this form will be utilized by Dutchess County to modify agricultural district boundaries (if necessary) and determine the viability of the agricultural district as a whole.

If you have any questions or concerns while filling this form out, please email agdistrict23@cornell.edu or leave a message at 845-605-2075.

Question Title

* 1. LANDOWNER INFORMATION

First Name

Last Name

Corporation/Farm Name

Physical Street Address

City

State

ZIP

Mailing Address (if different from physical address)

City

State

ZIP

Phone #

Question Title

* 2. Is the landowner the only farmer?

Yes

NY State Department of Agriculture and MarketsAGRICULTURAL DISTRICT REVIEW WORKSHEET

Question Title

* 1. LANDOWNER INFORMATION

Question Title

* 2. Is the landowner the only farmer?

NY State Department of Agriculture and Markets
AGRICULTURAL DISTRICT REVIEW WORKSHEET