What is the Short Environmental Assessment Form for?

Applicants or project sponsors use Part 1 to provide project information and answer questions about the proposed action’s environmental conditions as part of an application for approval or funding.

Who completes Part 1 of the form?

The applicant or project sponsor is responsible for completing Part 1. The form instructs them to answer all items based on information currently available.

Do I need a notary for the Short Environmental Assessment Form?

No. The document has no notary block; the applicant or sponsor certifies the information and signs and dates the form.

Livonia, NY · Livingston County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete this form to provide project information and environmental details as part of an application for approval or funding.

At a glance

Issued by: City of Livonia · Livonia, Livingston County, New York
Notarization: Not required: file this form without a notary.
Official source: livoniany.gov
Blank form: Download the PDF
Catalogued: Sep 28, 2026
Machine-readable: JSON record · about the forms index

What this form is

The applicant or project sponsor completes Part 1 with project and sponsor information, the proposed action’s location and description, and responses about land use, utilities, natural resources, and other environmental conditions. The form says these responses become part of an application for approval or funding and may be subject to public review and further verification. Complete all items using currently available information and attach additional pages as needed.

Who needs it

An applicant or project sponsor provides this information when it is part of an application for approval or funding.

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 and dated without a notary; the applicant or sponsor certifies the information is true and accurate to the best of their knowledge.

How to submit this form

1
Download The Form
Download the Short Environmental Assessment Form.
2
Complete Part 1
Enter project and sponsor information and answer all items using information currently available.
3
Gather Attachments
Attach a location map and any additional pages needed to supplement responses.
4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Short Environmental Assessment Form for?: Applicants or project sponsors use Part 1 to provide project information and answer questions about the proposed action’s environmental conditions as part of an application for approval or funding.
Who completes Part 1 of the form?: The applicant or project sponsor is responsible for completing Part 1. The form instructs them to answer all items based on information currently available.
Do I need a notary for the Short Environmental Assessment Form?: No. The document has no notary block; the applicant or sponsor certifies the information and signs and dates the form.
How do I submit the Short Environmental Assessment Form?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Short Environmental Assessment Form doesn’t need a notary, but if you have another Livonia form that does, a commissioned online notary can help.