INSTRUCTIONS (To be completed by landowner)
Complete and Sign application.
2.
Return to the Monroe County Legislature (address below) by March 30, 2021.
City/Town/Village: State: ________ Zip: ________
Please describe the property propsed to be added to the Agricultural District and list the tax map
parcel numbers for all parcels that you wish to be included in the Agricultural District Program.
Also indicate the town in which they are located. If you are unsure of your tax map parcel
numbers, please check with your local assessor. (Attach extra sheets if necessary):
_______________________________
__________________________________________________________________________________________
80 Acres Penfield)
__________________________________________ ____________________________________________
__________________________________________ ____________________________________________
I attest that the above information is correct to the best of my knowledge and hereby officially request
that my property, which is predominantly viable agricultural land (at lease 51% prime soils and/or
contiguous to the main farm operation), be included in the Agricultural District in which my land is
placed. I understand that this is not an application for an agricultural tax assessment. I also acknowledge
that this request is subject to a public hearing, action by the Monroe County Legislature and certification
by the NYS Department of Agriculture and Markets.
Signature: _____________________________________________ Date: _________________________
MONROE COUNTY AGRICULTURAL DISTRICT
Application to be completed by landowners who wish to include parcel(s) of predominantly viable
agricultural land in a certified New York State Agricultural District.
LANDOWNER CONTACT INFORMATION
___________________________
___________________________________________________________________________
________________________________________
FORMS ACCEPTED: MARCH 1 - MARCH 30, 2021
If you have any questions regarding this form, please contact Bob King, Monroe Community College
Applications postmarked or received after the deadline of March 30th will not be accepted.
Agriculture and Life Sciences Institue, 292-2065 or rking@monroecc.edu.
___________________________________________________________________________
Describe Current Land Use and/or Agricultural Activity/Crop:
Please return this form by March 30, 2021 to:
Jack Moffitt, Clerk of the Legislature, Room 407, County Office Building
39 West Main Street, Rochester, New York 14614
REV: 10/2020
