Name(s): ________________________________________________________________________________

________________________________________________________________________________________ Telephone: W: _____________________ H: _____________________ C: _____________________

Email Address: ___________________________________________________________________________ Mailing Address: __________________________________________________________________________

Office use

Application Number: ____________________

Date of Application: ____________________

Is a water license required for this farm? Yes No

Please fill out the following information as completely and accurately as possible. This is an important part of the Agriculture Land Application Process. Please ensure all forms are filled in prior to submission. Failure to complete a Farm Development Plan (FDP) within 60 days of the letter of acceptance of your application by the Agriculture Branch may result in cancellation of your application.

The PROJECT PROPOSAL FORM: LAND DISPOSITIONS (attached to this FDP) is deemed to be part of the Farm Development Plan submission and must be filled in and submitted to complete the FDP requirement. Please note that the Project Proposal Form is available as a fillable pdf form on the Yukon Environmental and Socioeconomic Assessment Board (YESAB) website (http://www.yesab.ca/).

Please contact the Agriculture Branch, Energy, Mines and Resources, Whitehorse, Yukon at 667–5838 or toll free at 1-800-661-0408, for appointments or further information.

The information contained in or attached to this application is being collected under the authority of the Lands Act, the Territorial Lands (Yukon) Act and the Subdivision Act to be used for the purpose of reviewing the request for land. It will be made available to government and the public as part of the review process as per the Access to Information and Protection of Privacy Act. All financial information shall be treated with strictest confidence. Questions about the collection or use of this information can be directed to the Agriculture Land Development Officer, Department of Energy, Mines and Resources, Agriculture Branch, Box 2703, Whitehorse, Yukon Y1A 2C6 or phone 667-5838, toll free at 1-800-661-0408, extension 3043.

Yukon Agriculture Branch FARM DEVELOPMENT PLAN

YG(4347EQ)F10 Rev.04/2015

Yukon Agriculture Branch FARM DEVELOPMENT PLAN

1. Please explain your farming background including use of heavy equipment, pesticides, previous farm experience, course work and related Yukon experience.

2. What agriculture products will the operation be producing? Please list the various crops and livestock that will be grown or raised on your farm. Provide estimated yields on a per acre basis and, for livestock, list estimated number and slaughter weight of animals. This information should reflect your initial production through to your anticipated full production level.

3. Explain your need for the acreage you have applied for? Parcel size should reflect a good fit for your proposed farming operation.

4. Please explain how and where you plan to market your farm products so that your operation will achieve economic viability. Use current examples of estimated revenues and explain future markets and opportunities. (be specific)

5. Please describe in detail your development activities and schedule for completion including infrastructure. Attach a map (to scale). Show where on the application each of the developments will occur.

1 grid square equals (metres, yards etc.)

Please fill out Appendix A — Assets, Liabilities and Income This appendix is not included in the public record nor listed in the environmental assessment.

Please fill out Appendix B — Statement of revenues and expenses Please complete this section to demonstrate how you intend to finance the development of this farm during the first 7 years. Normal funding sources, such as mortgages, are not generally available to finance beginning farm operations. Careful budgeting over the length of the development contract is required. This information will be part of the public record.

Value

Value

Bank SavingsCash in Hand

Investments (GICs, Bonds, Stocks, Mutual Funds) Accounts Receivable

Farm Inventory

Farm Machinery and Equipment

Farm Land

Farm Buildings

Hay, Grain, Supplies, Livestock, Feeds

House and Land

Household Goods and Furnishings Vehicles

Personal Machinery and Equipment Other....

Total Assets

Liabilities

Bank Overdraft Loans Home Mortgage Credit Card Balance Are credit cards paid on time? Yes No Annual Property Taxes Accounts Payable Farm Loans Other....

Assets

FARM DEVELOPMENT PLAN Appendix AASSETS, LIABILITIES, AND INCOMEAccurate as of the following date:

Total Liabilities

Income Annual Salary

Off Farm IncomePrevious Farm Income (average of previous 3 years)Investments (dividends, etc.)PensionOther....

FARM DEVELOPMENT PLAN Appendix B Page 1, CAPITAL COSTS SHEET Land Development Land Clearing.................... Discing and Raking........... Packing and Seeding........ Access Road.....................

Equipment Purchases Tractor............................... Mower............................... Tiller.................................. Cultivator........................... Harvesting Equipment

Seeding Equipment

Irrigation Equipment

estimated futureannual costs

Total $

1 2 3 4 5 6 7 Costs Total Cost Year >

Infrastructure Living Space..................... Shop................................. Shed................................. Electrical........................... Well Drilling....................... Fences.............................. Barn.................................. Greenhouse....................... Cold Storage.....................

FARM DEVELOPMENT PLAN APPENDIX B Page 2, EXPENSE SHEET

Electricity .......................................................... Telephone ......................................................... Accounting......................................................... Legal ................................................................. Fuel ................................................................... Heating ............................................................. Feed .................................................................. Medicines .......................................................... Miscellaneous parts and tools ........................... Supplies ............................................................

Machinery repairs and maintenance ................. Building, fence maintenance ............................

Insurance .......................................................... Property Taxes .................................................. Seed ................................................................. Fertilizer ............................................................ Herbicide/pesticide ............................................ Wages ...............................................................

Groceries .......................................................... Other household expenses ............................... Veterinary .......................................................... Livestock ........................................................... Taxes ................................................................. Other .................................................................

estimated futureannual costs

Groceries ..........................................................

Total .................................................................

1 2 3 4 5 6 7 Expenses Year >

.............................................................

estimated futureannual costs

Total

1 2 3 4 5 6 7 Farm Income Year >

Will this operation achieve commercially viability? Yes No

List assumptions regarding product sales

Field Crops

Livestock

Horticultural Products

Other Farm Income

Loan Proceeds

FARM DEVELOPMENT PLAN APPENDIX B Page 3, INCOME SHEET