I CONSENT TO THE FILING OF THIS SITE PLAN/SUBDIVISION PLAT WITH
THE WASHINGTON TOWNSHIP PLANNING AND ZONING BOARD OR ZONING BOARD
OF ADJUSTMENT AND THE BURLINGTON COUNTY PLANNING BOARD.
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(Owner)
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(Date)
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I HEREBY CERTIFY THAT I HAVE PREPARED THIS SITE PLAN/SUBDIVISION
PLAT AND THAT ALL DIMENSIONS AND INFORMATION ARE CORRECT.
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(Name and License No.)
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(Date)
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APPROVED BY THE WASHINGTON TOWNSHIP PLANNING AND ZONING BOARD
OR ZONING BOARD OF ADJUSTMENT
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_____ PRELIMINARY
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____ FINAL
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(Chairperson)
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(Date)
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(Secretary)
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(Date)
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APPROVED BY THE BURLINGTON COUNTY PLANNING BOARD
This plan is hereby approved by the Burlington County Planning
Board subject to the restrictions, agreements and conditions set forth
by the Burlington County Planning Board.
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(Chairperson)
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(Date)
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(Secretary)
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(Date)
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I HAVE REVIEWED THIS SITE PLAN/SUBDIVISION PLAT AND CERTIFY
THAT IT MEETS ALL CODES AND ORDINANCES UNDER MY JURISDICTION.
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(Township Engineer)
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(Date)
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