(This certificate must be signed by the owner(s) of all property shown on the plat. Separate certificates for each owner may be used.) This is to certify that the undersigned is the owner of the land shown on this plat and hereby acknowledges the same to be the plat of ________________________________________________ [for a major plat fill in subdivision name; for a minor plat, fill in the owner’s name(s) and deed book(s) and page(s)] and does hereby dedicate to public use __________________ shown thereon. ____________________ Owner’s signature _____________________ Owner’s signature _____________________ Owner’s signature ____________________ Address |
(LDC § 7.9.10)