§ 153.164 PERMITS AND CERTIFICATES.
   (A)   Improvement location permit and certificate of occupancy. No improvement location permit or certificate of occupancy shall be issued by any governing official for the construction of any building, structure, or improvement to the land or any lot within subdivision as defined herein, which has been approved for platting or replatting, until all requirements of the Zoning and Subdivision Ordinances have been met.
   (B)   Suggested certification forms. To entitle a secondary plat to be recorded, such certificates as required by law shall be lettered or printed on the secondary plat. This section lists certificates, some of which shall be placed on every plat, other certificates are optional and serve as a guide only.
      (1)   Each secondary plat submitted to the Plan Commission for approval shall carry a deed of dedication in substantially the following form.
“We, the undersigned, _______________________________, owners of the real estate shown and described herein, do hereby certify that we have laid off, platted, and subdivided, and do hereby lay off, plat, and subdivide, said real estate in accordance with the within plat.
This subdivision shall be known and designated as______________, an addition to______________. All streets, alleys, parks, and other public lands shown and now heretofore dedicated, are hereby dedicated to the public.
Front and side yard building setback lines are hereby established as shown on this plat, between which lines and the property lines of the street, there shall be erected or maintained no building or structure.”
Witness our hands and seals this _________ day of ________________, 20______.
 
___________________________________ ________
 
___________________________________ ________
 
___________________________________ ________
STATE OF INDIANA )
) SS
COUNTY OF ADAMS )
 
Before me, the undersigned Notary Public, in and for the said County and State, personally appeared _______________, __________________, and __________________, and each separately and severally acknowledged the execution of the foregoing instrument as his or her voluntary act and deed; for the purposes therein expressed. Witness my hand and Notarial Seal this __________ day of _________, 20___.
 
      (2)   Each secondary plat submitted to the Plan Commission for approval shall carry a certificate signed by a registered land surveyor in substantially the following form:
 
I,____________, hereby certify that I am a Registered Land Surveyor, licensed in compliance with the laws of the State of Indiana; that this plat correctly represents a survey completed by me on ___________, that all the monuments and material are accurately shown.
(SEAL) ______________________________________________
 
      (3)   Plan Commission approval of secondary plats shall appear substantially as follows:
 
I hereby certify that under I.C. 36-7-4-700 series, after proper publication of Public Notice and hearing, this plat was given secondary approval on ___________, 20________.
Designated Official ___________________________________________________
Plan Commission
 
      (4)   Board of Commissioners approval shall appear substantially as follows:
 
APPROVED
BOARD OF COMMISSIONERS OF
THE COUNTY OF ADAMS, INDIANA
_________________________________________________
_________________________________________________
_________________________________________________
This __________ day of _______________, 20________.
 
      (5)   County Surveyor approval shall appear substantially as follows:
 
APPROVED
COUNTY SURVEYOR OF
THE COUNTY OF ADAMS, INDIANA
__________________________________________________
This _______ day of ______________, 20_________.
 
      (6)   Board of Health approval shall appear substantially as follows:
 
APPROVED
BOARD OF HEALTH
THE COUNTY OF ADAMS, INDIANA
_________________________________________________
_________________________________________________
_________________________________________________
This __________ day of _______________, 20________.
 
(Ord. 2020-13, passed 11-10-2020)