Know all men by these Presents, That (I or we) (name of individual
owner or owners), of the Township of North Strabane, County of Washington
and State of Pennsylvania, for ourselves, our heirs, executors, administrators
and assigns, do hereby adopt this plan as (my, our) plan of (my, our)
property situated in North Strabane Township and do hereby dedicate
forever for public use for highway and utility purposes, all drives,
roads, lanes, ways, rights-of-way and other public highways shown
upon the plan, and we release, remise and discharge the Township of
North Strabane, its successor or assigns, of and from all liability,
courses of action, claims or damages arising from or pertaining to
in any manner said roads and rights-of-way.
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We further agree that said plan is approved by the Township
of North Strabane for "Planning Purposes Only" and that said Township
shall not issue any "building permits" for lots contained herein,
nor shall any lots be deeded until either all of said roads and improvements
in accordance with North Strabane Township Ordinance _____ and all
other applicable ordinances have been completed and accepted by said
Township or until the Township has approved a bond with sufficient
surety to guarantee construction of the same.
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In Witness Whereof, We hereunto set our hand and seal this _____
day of _____, 20 _____.
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Notary Public
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Owner
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Owner
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Know all men by these Presents, That _____, a Partnership (or
Corporation) duly registered under the laws of the Commonwealth of
Pennsylvania, of the Township of North Strabane, County of Washington
and State of Pennsylvania, for ourselves, our heirs, executors, administrators
and assigns, does hereby adopt this plan as its plan for its property
situate in North Strabane Township and does hereby dedicate forever
for public use for highway and utility purposes, all driveways, roads,
lanes, ways, right-of-way and other public highways shown upon the
plan, and we release, remise and discharge the Township of North Strabane,
its successor or assigns, of and from all liability, courses of action,
claims or damages arising from or pertaining to in any manner said
roads and rights-of-way. We further agree that said plan is approved
by the Township of North Strabane for "Planning Purposes Only" and
that said Township shall not issue any "building permits" for lots
contained herein, nor shall any lots be deeded until either all of
said roads and improvements in accordance with North Strabane Township
Ordinance No. _____ and all other applicable ordinances have been
completed and adopted by said Township or until the Township has approved
a bond with sufficient surety to guarantee construction of the same.
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In Witness Whereof, We hereunto set our hand and seal this _____
day of _____, 20 _____.
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Notary Public
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Owner
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Owner
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COMMONWEALTH OF PENNSYLVANIA) SS:
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COUNTY OF WASHINGTON
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Before me, the subscriber, a Notary Public in and for said Commonwealth
and County, personally appeared the above named (Name of 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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Sworn to and subscribed before me this _____ day of _____, 20
_____.
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My Commission Expires the _____ day of _____, 20 _____.
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SEAL
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Notary Public
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Before me, the subscriber, a Notary Public in and for said Commonwealth
and County personally appeared Name and Title of Officer of the Name
of Corporation, who being duly sworn, deposeth and saith that the
person was personally present at the execution of the adoption, release
and dedication and saw the common and corporate seal 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 Name of Corporation, for
the uses and purposes therein mentioned and that the name of this
deponent subscribed to the said release and dedication as Title of
Officer of said corporation, in attestation of the due execution and
delivery of said release and dedication is this deponent's own
and proper and respective handwriting.
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Title of Officer
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Sworn to and subscribed before me this day.
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WITNESS MY HAND AND NOTARIAL SEAL this _____ day of _________,
20 _____
My Commission Expires the _____ day of _________, 20_____.
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SEAL
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Notary Public
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I, (or We) Name of Owner owners of the Name of Plan, do hereby
certify that the title of this property is in the name of _____ as
recorded in Deed Book Volume _____, page _____, Recorder of Deeds
Office. I (or We) further certify that there is no mortgage, lien
or encumbrance against this property.
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Witness
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Owner
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If the property embraced in this plan is encumbered by a mortgage,
judgment of record, or otherwise, the following certificates shall
appear. I, (or We) Name of Owner owners of the Name of Plan, do hereby
certify that the title of this property is in the name of _____ as
recorded in Deed Book Volume _____, page _____, Recorder of Deeds
Office.
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Witness
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Owner
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I, (or We) Name of Bank or Mortgage Company mortgagee of the
property embraced in this plan or subdivision, Name of Plan, do hereby
consent to the recording of said plan in the Recorder's Office
of Washington County, Pennsylvania and to the dedications and covenants
appearing hereon.
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Witness
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Mortgagee
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I,_____________, a Registered Surveyor of the Commonwealth of
Pennsylvania, do hereby certify that the plan as shown hereon is based
upon actual field survey of the land described and that all angles,
distances and courses are correctly shown, that the monuments and
markers have been set as shown on the plat, and that this plan correctly
represents the lots, land, streets and highways as surveyed and plotted
by me for the owners or agents.
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SEAL
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Signature of
Surveyor
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Registration
Number
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The Board of Supervisors of the Township of North Strabane hereby
gives public notice that in approving this plan for recording purposes
only, the Township assumes no obligations, legal or otherwise, expressed
or implied either to accept said streets as Township streets or roads
or grade, pave and curb the streets in said plan, or to construct
sewers therein or to install in Township streets or roads.
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Secretary
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SEAL
Chairman, Board of Supervisors
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Approved by the Board of Supervisors of the Township of North
Strabane this _____ day of _____, 20____.
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Secretary
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SEAL
Chairman, Board of Supervisors
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Approved by the North Strabane Planning Commission this _____
day of 20 _____.
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Secretary
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SEAL
Chairman, Planning Commission
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Review by the Washington County Planning Commission this _____
day of _____, 20_____.
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SEAL
Chairman
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Approved by the Washington County Conservation District this
__________ day of _____, 20 ______.
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Chairman
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COMMONWEALTH OF PENNSYLVANIA) SS:
COUNTY OF WASHINGTON
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Recorded in the Recorders Office for the recording of deeds,
plans, 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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SEAL
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Recorder
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