Springwater, NY · Livingston County

No notary required

Agricultural District Structures Statement

This statement records a proposed project near agricultural district land and is completed by the applicant and, if different, the property owner.

What this form is

The form identifies the applicant, property owner, project location, proposed use, anticipated construction timing, and farm operations that might be affected. It asks for farmland owners within 500 feet of the proposed project property and requires an attached map showing the property relative to those farm operations.

Who needs it

Applicants proposing a project near agricultural district land, and property owners if different from the applicant, provide the requested project and property information.

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 form asks the applicant and, if different, the owner to sign and provide a date.

How to submit this form

  1. 1

    Download The Statement

    Download the Agricultural District Structures Statement PDF.

  2. 2

    Complete The Form

    Enter applicant and owner details, project location and use, construction timing, and information about potentially affected farm operations.

  3. 3

    Attach A Map

    Attach a map showing the project site relative to the listed farm operations.

  4. 4

    Sign And Submit

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

Frequently asked questions

What information does the Agricultural District Structures Statement request?
It requests applicant and owner details, project location and use, construction timing, nearby farmland owners, and a map showing the property relative to farm operations.
Do I need a notary for the Agricultural District Structures Statement?
No. The document is signed and dated without a notary; the applicant and, if different, the owner sign and provide a date.
How do I submit the Agricultural District Structures Statement?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

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