Waiver
(r) -(u) [Reserved] 305(4) of the Agriculture and Markets Law.
[Name, address and telephone ________
number - project sponsor] (signature)
[Name, address and telephone number - landowner(s)]
________
Date
[Individual Acknowledgment]
State of ________}
ss:
County of ________}
On the ________ day of ________, 19 ________, before me personally came ________ to me known, and known to me to be the person described in and who executed the foregoing instrument, and acknowledged to me that he/she executed the same.
________
[Signature, with name printed underneath]
Notary Public, No. ________
________ County.
[Seal]
[Corporate Acknowledgment]
State of ________}
ss:
County of ________}
On the ________ day of ________ in the year ________, before me personally came ________ to me known, who, being by me duly sworn, did depose and say that he/she resides at ________; that he/she is the ________ [president or other officer or director] of the ________ [name of corporation], the corporation described in and which executed the above instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the board of directors of said corporation, and that he/she signed his/her name thereto by like order.
________
[Signature, with name printed underneath]
Notary Public, No. ________
________ County.
[Seal]
N.Y. Comp. Codes R. & Regs. Tit. 1 § 371.8