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 governing body. All certificates shall be placed
on the final plan in an arrangement suitable for placement of all
required seals.
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OWNER'S ADOPTION
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KNOW ALL MEN BY THESE PRESENTS, that (I or we) ____________________
(name of owner or owners) of the (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 Franklin, County of Beaver and Commonwealth
of Pennsylvania, and for divers 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, rights-of-way and easements
by said County of Beaver and Township of Franklin, (I or we), __________
(name of owner or owners) hereby agree to and by these presents do
release and forever discharge said County of Beaver and said Township
of Franklin, 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.
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IN WITNESS WHEREOF, (I or we) hereunto set (my, our) hand(s)
and seal(s) this __________ day of __________, A.D., 20__.
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ATTEST:
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(SEAL)
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(owner or owners)
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(SEAL)
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Notary Public
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(owner or owners)
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My commission expires the day of ________________,
A.D., 20__.
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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 governing body of the Township
of Franklin, 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.
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INDIVIDUAL ACKNOWLEDGEMENT
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COMMONWEALTH OF PENNSYLVANIA
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:
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:
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SS:
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COUNTY OF BEAVER
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:
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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:
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WITNESS MY HAND AND NOTARIAL SEAL this day of _______________,
20__.
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(SEAL)
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Notary Public
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CORPORATION ADOPTION
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KNOW ALL MEN BY THESE PRESENTS, that ____________________ (name
of corporation) a corporation, by virtue of a resolution of the Board
of Directors, thereof does hereby adopt this as its plan of lots of
its property situate in the Township of Franklin, Beaver County, Pennsylvania,
and for divers advantages accruing to it, does hereby dedicate forever,
for public use for highway purposes, all drives, roads, streets, lanes
and 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 by the said Township of Franklin, Beaver County,
Pennsylvania, hereby covenants and agrees to and by these presents
does release and forever discharge said Township of Franklin, its
successors or assigns from any liability for damage arising and to
arise from the appropriation of said ground for public highways and
the physical grading thereof to any grades that may be established.
This dedication and release shall be binding upon ____________________
(name of corporation) Its successors and assigns and purchasers of
lots in this plan.
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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., 20__.
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ATTEST
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(name of corporation)
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__________
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Secretary
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President
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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 governing body of the Township
of Franklin, 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.
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CORPORATION ACKNOWLEDGEMENT
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COMMONWEALTH OF PENNSYLVANIA
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:
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:
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SS:
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COUNTY OF BEAVER
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:
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On this _____ day of __________, A.D., 20_____, 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 __________
of said corporation, (title of officer) attestation of the due execution
and delivery of said release and dedication of this deponent's own
proper and respective handwriting.
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(SEAL)
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(name of officer)
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(SEAL)
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(title of officer)
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Sworn to and subscribed before me the day and date written.
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WITNESS MY HAND AND NOTARIAL SEAL this _____ day of __________,
20__.
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(SEAL)
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Notary Public
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My commission expires the _____ day of __________, A.D., 20__.
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BEAVER COUNTY PLANNING COMMISSION REVIEW
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1 - Lot Subdivision
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Reviewed with comments by the Beaver County Planning Commission.
Letter to the Franklin Township Board of Supervisors dated __________.
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Multilot Subdivision
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Reviewed with comments by the Beaver County Planning Commission
at a meeting held this __________ day of __________, 20__. Letter
to Franklin Township Board of Supervisors dated __________, 20__.
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PROOF OF RECORDING
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COMMONWEALTH OF PENNSYLVANIA
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:
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:
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SS:
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COUNTY OF BEAVER
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:
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Recorded in the Office for the Recording of Deeds, Plats, etc.,
in said county, in Plan Book Volume __________, page __________.
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Given under my hand and seal this __________ day of __________,
20__.
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Recorder of Deeds
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OWNERS ACCEPTANCE OF RESPONSIBILITY FOR
PROVIDING STORMWATER DRAINAGE FACILITIES
AND CONTROL OF STORMWATER DRAINAGE
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KNOW ALL MEN BY THESE PRESENTS, THAT (I or we) ____________________,
of the Township of Franklin, 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
governing body and until such formal acceptance (I or we) for ourselves,
our heirs, executors, administrators and assigns do hereby release
the Township of Franklin 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.
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IN WITNESS WHEREOF, we hereunto set our hands and seals this
__________ day of __________, A.D., 20_____.
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ATTEST
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(SEAL)
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(owner or owners)
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(SEAL)
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(owner or owners)
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WITNESS My hand and notarial seal this _____ day of __________,
A. D., 20_____.
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(SEAL)
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Notary Public
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My commission expires the _____ day of __________, A.D., 20__.
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ENGINEER'S CERTIFICATE
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I, __________, a registered professional engineer (or registered
surveyor) 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.
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(SEAL)
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(engineer)
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Registration No.
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Date
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APPROVAL BY TOWNSHIP OF FRANKLIN
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The governing body of the Township of Franklin, 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 Franklin 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 governing body. This approval shall in no way be
deemed an authorization to commence construction or related activities.
This plan of subdivision approved by resolution of the governing body
of the Township of Franklin, Beaver County, Pennsylvania, on this
_____ day of __________, 20_____.
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ATTEST:
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Secretary
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Chairperson
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SEAL:
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