Geneseo, NY · Livingston County

No notary required

Agricultural Data Statement

This form collects project and nearby farm-operation information from applicants seeking certain approvals for property within 500 feet of a farm operation.

What this form is

The Town of Geneseo requires this statement for applications for a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review when the property is within 500 feet of a farm operation. It asks for applicant and owner details, the proposed project and its location, and information about nearby farm operations. The form includes spaces for signatures and municipal review.

Who needs it

Applicants seeking one of the listed approvals for property within 500 feet of a farm operation must complete this statement.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant and, if different, the owner sign, and a municipal official reviews and signs it.

How to submit this form

  1. 1

    Download The Form

    Download the Agricultural Data Statement PDF.

  2. 2

    Complete The Statement

    Enter the applicant and owner details, project description and location, and information about nearby farm operations.

  3. 3

    Add Any Extra Sheets

    Attach additional sheets if needed to list farm operations within 500 feet.

  4. 4

    Sign And Submit

    Have the applicant and, if different, the owner sign, then submit the form to the city department named on it.

Frequently asked questions

Who must complete the Agricultural Data Statement?
Applicants seeking a special use permit, site plan approval, use variance, or subdivision approval requiring municipal review must complete it when the property is within 500 feet of a farm operation.
What information does the statement request?
It requests applicant and owner information, a description and location of the proposed project, and details about farm operations within 500 feet, including tax map numbers and whether parcels are actively farmed.
Do I need a notary for the Agricultural Data Statement?
No. This document is signed without a notary; the applicant and, if different, the owner sign, and a municipal official reviews and signs it.
How do I submit the Agricultural Data Statement?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Agricultural Data Statement doesn’t need a notary — but if you have another Geneseo form that does, a commissioned online notary can help.