A.
Owner certification.
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"I hereby certify that ___________________ is
the registered owner of the land herein subdivided and/or developed
and that I do hereby adopt this plan.
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Title"
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B.
Planning Commission approval.
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"Approved by the Hanover Township Northampton
County Planning Commission this __________ day of _________, 20___.
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Secretary, Hanover
Township Planning Commission"
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C.
Board of Supervisors approval.
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"Approved by the Board of Supervisors of Hanover
Township, Northampton County, this __________ day of __________, 20___.
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Chairman
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Secretary
Township Engineer"
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D.
Survey certification.
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"I hereby certify that this plan represents
a survey made by or for me, that the monuments shown hereon exist
or will exist as located and that all dimensional details are correct.
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Date
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Registered Engineer/ Surveyor
(SEAL)"
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E.
Street profiles and cross sections.
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"Submitted herewith are a complete set of street
profiles and cross-sections marked ____________________________ which
form a part of this application, being dated ________________________
and revised ________________________.
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Owner"
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F.
Dedication.
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"Upon completion of this project, there will
be offered for dedication, the following in accordance with all of
the requirements of the Hanover Township Northampton County Subdivision
and Land Development Regulations:
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All required improvements will be completed
by ________________ and will be maintained by the undersigned for
a period of one year from date of Municipal acceptance.
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Owner"
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G.
Owner's acknowledgment.
(1)
Individual:
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"Commonwealth of Pennsylvania/
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/ SS
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County of Northampton /
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On the ___________ day of _______________, 20___,
before me the subscriber, a Notary Public in and for the county and
state aforesaid, the undersigned officer, personally appeared ____________________________________
(insert names of all owners) known to me (or satisfactorily proved
to be the persons whose names are subscribed to the within plan) and
acknowledged that they executed the same as the official plan of the
improvements, highways and property shown thereon and desired that
the plan be recorded according to law.
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IN WITNESS WHEREOF, I hereunto set my hand and
official seal.
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Notary Public
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My commission expires
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(Notary Seal)"
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(2)
Corporation:
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"Commonwealth of Pennsylvania/
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/ SS
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County of Northampton /
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On the __________day of ________, 20___, before
me, the subscriber, a Notary Public in and for the county and state
aforesaid, the undersigned officer, personally appeared ___________________________who
acknowledged himself to be the ___________________________ of ______________________
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(office)
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(name of corporation)
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and that he as such _____________________, being
authorized to do so, executed the within plan and acknowledged that
the same was executed as the official plan of the improvements, highways
and property shown thereon and desired that the plan be recorded according
to law by signing the name of the corporation by himself as _________________________________.
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(office)
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IN WITNESS WHEREOF, I hereunto set my hand and
official seal.
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___________________________________ Notary Public
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My commission expires ______________________.
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(Notary Seal)"
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H.
Recorded plan.
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"Recorded this _________________ day of ____________,
20_____, in the office for the Recording of Deeds, etc., in and for
the County of Northampton, Pennsylvania, in Plan Book No. _______,
Page _______."
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I.
Capped sewers required.
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"See Profile # _____, Date _______________.
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___________ Recorder"
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