It is hereby certified that the final plan known
as (Name of Subdivision or Land Development) has been examined by
the (Name of Company or Authority) and that approval is hereby given
for the provision of water to all lots in this development by the
(Name of Company or Authority)
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(Signature of Engineer or Officer of Company
or Authority)
|
It is hereby certified that the final plan known
as (Name of Subdivision or Land Development) has been examined by
the (Name of Company or Authority) and that approval is hereby given
for the provision of sanitary sewer facilities to all lots in this
development by the (Name of Company or Authority)
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(Signature of Engineer or Officer of Company
or Authority)
|
On this, the _______ day of _____________, ____,
before me, the undersigned officer personally appeared, (Name of Owner),
who, being duly sworn according to law, deposes and says that he is
the owner and/or equitable owner of the property shown on this plan,
and that he acknowledges the same to be his act and plan and desires
the same be recorded as such according to law.
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Witness my hand and seal the day and date above
written.
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My commission expires:
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(Notary Public or Other Officer)
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We the undersigned, owners of the real estate
shown and described herein, do hereby certify that we have laid off,
platted and subdivided, and hereby lay off, plat and subdivide, said
real estate in accordance with this plat, and that all proposed streets
and alleys shown and not heretofore dedicated are hereby dedicated
to the public use.
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Approved by resolution of the Board of Commissioners
of Caln Township this ______ day of ___________, ____.
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President
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Acceptance
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Approved by resolution of the Caln Township
Board of Commissioners at the meeting of ____________, ____.
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President
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Board of Commissioners
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