The applicable certificates stated below shall
be inscribed with black waterproof India ink or veritype on the linen
tracing, exactly as stated, and shall be properly signed with black
waterproof India ink. The statements in parentheses are optional in
most cases.
Know all men by these Presents, That (I or we) (name of individual owner or owners), of the Township
of Butler, County of Butler 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 Butler
Township and do hereby dedicate forever for public use for highway
and utility purposes, all drives, roads, lanes, way, rights-of-way,
and other public highways shown upon the plan, and we release, remise
and discharge the Township of Butler, 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 Butler 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 Butler 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. In Witness Whereof,
We hereunto set our hand and seal this __________day of _______________,
19 _____.
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Notary Public
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Owner
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 Butler, County of
Butler and State of Pennsylvania, for ourselves, our heirs, executors,
administrators and assigns, does hereby adapt this Plan for its property
situate in Butler Township and does hereby dedicate forever for public
use for highway and utility purposes, all drives, roads, lanes, ways,
right-of-way and other public highways shown upon the plan, and we
release, remise and discharge the Township of Butler, 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 Butler 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 Butler 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. In Witness Whereof,
We hereunto set our hand and seal this __________day of _______________,
19 _____.
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Notary Public
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Owner
Owner
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Commonwealth of Pennsylvania)SS:
County of Butler
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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 acknowledge 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 __________, 19 _____.
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My Commission Expires the __________ day of
_____________, 19____.
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SEAL
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Notary Public
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Commonwealth of Pennsylvania)SS:
County of Butler
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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 he 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 thereinmentioned 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)
Sworn and subscribed before me this day.
WITNESS MY HAND AND NOTARIAL SEAL this _____
day of ____________, 19 _____.
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My Commission Expires the _____ day of _______________,
19 _____.
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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.
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 Mortgagee) mortgagee of the property embraced in this plan or subdivision, (Name of Plan), do hereby consent tot he recording of
said plan in the Recorders Office of Butler County, Pennsylvania and
to the dedications and covenants appearing hereon.
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Witness
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Owner
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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.
Secretary
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SEAL
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Signature of Surveyor
Registration Number
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The Board of Commissioners of the Township of
Butler hereby gives public notice that in approving this plan for
recording purposes only, the Township assumes no obligations, legal
or otherwise, expresses 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 any other such
service ordinarily installed in Township streets or roads.
Secretary
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SEAL
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President
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Approved by the Board of Commissioners of the
Township of Butler this day of _______________________, 19 _____.
Secretary
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SEAL
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President of Board
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Approved by the Butler Township Planning Commission
this day of _______________________, 19 _____.
Secretary
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SEAL
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Chairman
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Reviewed by the Butler County Planning Commission
this ___________ day of _____________, 19 _____.
Secretary
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SEAL
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Chairman
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Approved by the Butler County Conservation District
this __________ day of _______________, 19 _____.
Chairman
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Commonwealth of Pennsylvania)SS:
County of Butler
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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 __________, 19 _____.
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SEAL
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Recorder
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