Commonwealth of Pennsylvania:
| ||
| ||
Signature of owner
| ||
SS.
| ||
County of Bucks
| ||
On the _____ day of _____, 20 _____, before me the subscriber,
a Notary Public of the Commonwealth of Pennsylvania, residing in __________
personally appeared (name(s) of all owners), known to me (or satisfactorily
proven) to be the persons whose name(s) (is/are) subscribed to the
foregoing plan, and acknowledge that (he/she/they)(is/are) the registered
owner(s) of the designated plan, that all necessary approvals of the
plan have been obtained and is endorsed thereon, and that (he/she/they)
desire(s) that the foregoing plan be recorded according to law.
| ||
Witness my hand and notarial seal, the day and year aforesaid.
| ||
| ||
Notary Public
| ||
My Commission Expires __________
| ||
(SEAL)
|
Commonwealth of Pennsylvania
| ||
SS.
| ||
County of Bucks
| ||
On the _____ day of _____, 20 _____, before me the subscriber,
a Notary Public of the Commonwealth of Pennsylvania, residing in __________
personally appeared (name of officer of corporation), who acknowledged
(himself/herself) to be the (president/secretary) of (name of the
corporation), a corporation, and that as such (president or secretary),
being authorized to do so, (he/she) executed the foregoing plan by
signing that the said corporation is the registered owner of the designated
land, that all necessary approvals of the plan have been obtained
and is endorsed thereon, and that (he/she/they) desire(s) that the
foregoing plan be recorded according to law.
| ||
Witness my hand and notarial seal, the day and year aforesaid.
| ||
| ||
Notary Public
| ||
My Commission Expires__________
| ||
(SEAL)
|
Approved by the Board of Supervisors of the Township of West
Rockhill this _____ day of _____, 20 _____.
|
___________________________________
|
___________________________________
|
Recommended for approval by the West Rockhill Township Planning
Commission this _____ day of _____, 20 _____.
|
___________________________________
|
___________________________________
|
BCPC No. __________
|
PROCESSED AND REVIEWED. Report prepared by the Bucks County
Planning Commission in accordance with the Municipalities Planning
Code.
|
Certified this date __________
|
___________________________________
|
Executive Director, Bucks County Planning Commission
|
Recorded in the office of the Recorder of Deeds, Bucks County,
Pennsylvania in Plan Book - _____ Page _____ on the _____ day of _____,
20 _____.
|