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Revised January, 2023 Cayuga County, State of New York Survey Map Affidavit This affidavit is required for filing of Survey Maps at the Clerk’ Use Only: Cayuga County Clerk's Office with: e 2paper maps - w/signature & seal e Min x 11” Max 34” x 44” Title of Survey Map Map Number Property owner's name at time of filing Tax Map # Acres Involved Town/Village or City Name of Surveyor. Date of Map 1. Does this survey map divide an existing parcel? YES NO If NO, continue to #4 2. Is local subdivision approval required? (See Cayuga County Municipalities with Subdivision Regulations on reverse side) YES NO If YES, name of Planning Board Official that signed map: Name Date of signature 3. Does the map create 5 or more lots that are 5 acres or less? YES NO. lf YES, Health Department approval is required prior to filing map at Clerk's Office. 4. Does this map amend or correct a map already on file YES NO If YES, map number required To the best of my knowledge the above information is correct. I hereby represent that if this map divides an existing parcel, I have consulted with the town, city, or village clerk and I state that all approvals required by law have been complied with and that the approvals are noted on the survey map. Notice: In a written statement filed with the County, any person who knowingly makes a false statement which such person does not believe to be true has committed a crime under the laws of New York State punishable as a Class A Misdemeanor (PL Sec. 210.45). Sworn to me this day of Signature of filer Name of Filer. Notary Public ---PAGE BREAK--- Summary of Subdivision Regulations According to the Records Available to CCP&ED This summary is based on the subdivision regulations on file at Cayuga County Planning and Economic Development Office. Please contact the municipality for the most current information. Municipality Subdivision Contact Number Auburn Xx 253-1523 Aurelius 255-1894 Aurora X 364-7293 Brutus x 834-9398 Cato (town) x 626-6230 Cato (village) xX 626-2397 Cayuga 4 252-1707 Conquest 776-4539 Fair Haven 947-5112 Fleming x 252-8988 Genoa 364-8796 lra x 626-6905 Ledyard 364-5707 Locke x 497-1683 Mentz Xx 776-8692 Meridian xX 626-3223 Montezuma X 776-8844 Moravia (town) xX 497-1972 Moravia (village) xX 497-1820 Niles x 497-2606 Owasco X 253-9021 Port Byron 776-4321 Scipio - added to list 6/19 xX 364-5740 Sempronius 496-2026 Sennett X 253-3712 Springport — added to list 6/19 x 889-7717 Sterling xX 947-5666 Summerhill 497-3494 Throop 252-7373 Union Springs X 889-7341 Venice 364-9512 Victory X 626-6462 Weedsport X 834-6634