Agricultural Exemption Application


We utilize to process electronic signatures. You must provide us a valid e-mail address. After submitting this information to the PVA, you will receive a notification e-mail from eSignLive to acknowledge the information on your completed application. Please follow the link in that e-mail and click on the signature line to complete the process. If you do not receive an e-mail, you may wish to check your e-mail spam folder before contacting the PVA office at (859) 334-2181.

(this would include but not limited to lawns, drives, flower gardens, swimming pool, or other areas

(attach additional files if needed)

Please indicate by checking the boxes below the type of documentation you will be attaching.

Please provide the information requested below for each of your outbuildings (if applicable). If you have more than 2 please upload a separate sheet with the information you provided below for the first two.

please enter as ______x_______

Please enter ________X________

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