The certificates quoted below shall be inscribed on the plan as quoted and shall be properly signed and attested when the plan is submitted to the Planning Commission and the Board of Commissioners. All certificates shall be placed on final plan in an arrangement suitable for placement of all required seals.
OWNER'S ADOPTION
KNOW ALL MEN BY THESE PRESENTS, that (I or we)
of the
(Name of Owner or Owners)
(City, Borough, Township) of ______________________________, County of ______, State of ______, for (myself, ourselves), (my, our) heirs, executors, administrators and assigns, do hereby adopt this as (my, our) Plan of Subdivision of (my, our) property, situate in the Township Patterson, County of Beaver and Commonwealth of Pennsylvania, and for drivers' advantages accruing to (me, us), do hereby dedicate forever, for public use for highway, drainage, sewage and utility purposes, all drives, roads, streets, lands, rights-of-way, easements, ways and other public highways shown upon the plan, with the same force and effect as if the same had been opened through legal proceedings and in consideration of the approval of said plan and any future acceptance of said public highways, right-of-way and easements by said County of Beaver and Township of Patterson, (I or We),
(Name of Owner or Owners)
hereby agree to and by these presents to release and forever discharge said County of Beaver and said Township of Patterson, their successors or assigns, from any liability for damages arising and to arise from the appropriation of said ground for public highways, and other public uses and the physical grading thereof to any grades that may be established. This dedication and release shall be binding upon
  (Name of Owner or Owners)
(my, our) heirs, executors, administrators and assigns and purchasers of lots in this plan.
IN WITNESS WHEREOF, (I or We) hereunto set (my, our) hand(s) and seal(s) this _______ day of _______________ A.D., ____.
ATTEST:
(SEAL)
  (Owner or Owners)
(SEAL)
  Notary Public
  (Owner or Owners)
My Commission Expires the ____ day of _____________ A.D., ____.
The foregoing adoption and dedication is made by
(Name of Individual or Corporate Owner)
with the full understanding and agreement that the approval of the Board of Commissioners of the Township of Patterson, if hereto attached, will become null and void unless this plan is recorded in the Recorder of Deeds Office of Beaver County, County Court House, Beaver, Pennsylvania, within 90 days of date of said approval.
INDIVIDUAL ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
:
:
SS:
COUNTY OF BEAVER
:
Before me, the subscriber, a Notary Public in and for said State and County, personally appeared the above named (
)
(Owner)
and acknowledged the foregoing Release and Dedication and Plan to be (his, her, their) act and deed and desired the same to be recorded as such:
WITNESS MY HAND AND NOTARIAL SEAL this _______ day of__________, ____.
(SEAL)
  Notary Public
CORPORATION ADOPTION
KNOW ALL MEN BY THESE PRESENTS, that
(Name of Corporation)
  (Name of Corporation)
its successors and assigns and purchasers of lots in this plan.
IN WITNESS WHEREOF, the said corporation has caused its corporate seal to be affixed by the hand of its president and the same to be attested by its secretary this _______ day of ___________A.D., ____.
ATTEST
  (Name of Corporation)
  Secretary
  President
The foregoing adoption and dedication is made by
  (Name of Individual or Corporate Owner)
with the full understanding and agreement that the approval of the Board of Commissioners of the Township of Patterson, if hereto attached, will become null and void unless this plan is recorded in the Recorder of Deeds Office of Beaver County, County Court House, Beaver, Pennsylvania, within 90 days of the date of said approval.
CORPORATION ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
:
:
SS:
COUNTY OF BEAVER
:
On this ____ day of _________________ A.D., ____, before me, a Notary Public in and for said County and State, personally appeared
  (Name and Title of Officer),
  (Name of Corporation)
who being duly sworn deposeth and saith that he was personally present at the execution of the adoption, release and dedication and saw the common and corporate seal of the said corporation duly affixed and that the above release and dedication was duly signed and sealed by and as for the act and deed of the said Corporation, for the uses and purposes therein mentioned and that the name of the deponent subscribed to the said release and dedication as (
)
(Title of Officer)
of said corporation, attestation of the due execution and delivery of said release and dedication of this deponent's own proper and respective handwriting.
(SEAL)
  (Name of Officer)
(SEAL)
  (Title of Officer)
Sworn to and subscribed before me the day and year written. WITNESS MY HAND AND NOTARIAL SEAL this ________ day of________,
(SEAL)
  Notary Public
My Commission Expires the _____ day of _______________A.D., ____.
ENGINEER'S CERTIFICATE
I, ___________________________________________, a Registered Professional Engineer of the State of Pennsylvania, do hereby certify that this plan correctly represents the lots, lands, streets and highways as surveyed and plotted by me for the owners or agents.
(SEAL)
  (Engineer)
  Registration No.
  Date
SURVEYOR'S CERTIFICATE
I, _____________________________, a Registered Professional Land Surveyor of the State of Pennsylvania, do hereby certify that this plan correctly represents the location of the property lines, tract perimeters, boundary lines, road right-of-ways and easements as surveyed by me for the owner or owners.
  Professional Land Surveyor
  Registration No:
  Date
TOWNSHIP PLANNING COMMISSION APPROVAL
This plan of subdivision has been approved by the Planning Commission of the Township of Patterson, Beaver County, Pennsylvania, on this ________ day of ___________, ____.
ATTEST
  Secretary
  Chairman
APPROVAL BY TOWNSHIP OF PATTERSON
The Board of Commissioners of the Township of Patterson, Beaver County, Pennsylvania, hereby gives notice that it is approving this plan of subdivision for recording purposes only. The approval of this subdivision plan by the Township of Patterson does not constitute an acceptance of the roads, streets, storm and sanitary drainage facilities, easements or rights-of-way, water mains or any other services or improvements shown on this plan nor an assumption of maintenance responsibility, nor will the same be accepted or maintained until constructed in accordance with all Township specifications and requirements and officially accepted by action of the Board of Commissioners. This approval shall in no way be deeded an authorization to commence construction or related activities. This plan of subdivision approved by resolution of the Board of Commissioners of the Township of Patterson, Beaver County, Pennsylvania, on this ____ day of ______________________, ____.
ATTEST:
  Secretary of Board
Chairman of Board
  SEAL:
BEAVER COUNTY PLANNING COMMISSION REVIEW
This plan of subdivision has been reviewed by the Beaver County Planning Commission, Beaver County, Pennsylvania, and comments presented on this _____ day of _______________, ____.
SIGNED:
  Executive Director
PROOF OF RECORDING
COMMONWEALTH OF PENNSYLVANIA
:
:
SS:
COUNTY OF BEAVER
:
Recorded in the Office for the Recording of Deeds, Plats, etc., in said County, in Plan Book Volume _____, page _______.
Given under my hand and seal this _______ day of _____________, ____.
  Recorder of Deeds
OWNERS' ACCEPTANCE OF RESPONSIBILITY FOR PROVIDING STORMWATER DRAINAGE FACILITIES AND CONTROL OF STORMWATER DRAINAGE
KNOW ALL MEN BY THESE PRESENTS, THAT (I or We)
, of the Township of Patterson, County of Beaver, Commonwealth of Pennsylvania, for ourselves, our heirs, executors, administrators and assigns, and for our grantees and their subsequent purchasers, do hereby accept full and complete responsibility, liability, expense and provision of facilities for the control of stormwater drainage over, across and through this subdivision of land until such time as (I or we), our heirs, executors, administrators and assigns construct stormwater drainage facilities in accordance with Township's specifications and requirements and the same is officially accepted by action of the Board of Commissioners and until such formal acceptance (I or we) for ourselves, our heirs, executors, administrators and assigns do hereby release the Township of Patterson from any responsibility in connection therewith. This acceptance of responsibility shall be binding upon our (_) heirs, executors, administrators and assigns, and all purchasers of lots in this plan of subdivision.
IN WITNESS WHEREOF, we hereunto set our hands and seals this _____ day of _________, A.D., ____.
ATTEST
(SEAL)
  (Owner or owners)
(SEAL)
  (Owner or owners)
WITNESS My hand and notarial seal this ______ day of ___________, A.D., ____.
(SEAL)
  Notary Public
My Commission Expires the _______ day of __________ A.D., ____.