NY State Department of Agriculture and Markets
AGRICULTURAL DISTRICT ANNUAL REVIEW WORKSHEET

Please complete this application if you are an agricultural or non-agricultural landowner looking to add your parcel to the Agricultural District. 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 out this application, please contact the Dutchess County Agriculture & Farmland Protection Board at dutchessafpb@gmail.com or call the Dutchess County Soil & Water Conservation District office at (845) 677-8011 ext. 3.

Question Title

* 1. LANDOWNER INFORMATION

Please enter either the legal first/last name or business name associated with the farm unit.

First Name

Last Name

Business/Farm Name

Mailing Address

City

State

ZIP

Phone #

Question Title

* 2. Is the landowner the farmer?

Yes

NY State Department of Agriculture and MarketsAGRICULTURAL DISTRICT ANNUAL REVIEW WORKSHEET

Question Title

* 1. LANDOWNER INFORMATIONPlease enter either the legal first/last name or business name associated with the farm unit.

Question Title

* 2. Is the landowner the farmer?

NY State Department of Agriculture and Markets
AGRICULTURAL DISTRICT ANNUAL REVIEW WORKSHEET

* 1. LANDOWNER INFORMATION

Please enter either the legal first/last name or business name associated with the farm unit.