Before me, a notary public in and for said county and state personally appeared the above signed ___________________________ who acknowledged that they are the owners of the land shown on the accompanying subdivision plat as shown above, and that the signing of the above certificate is their own free act and deed for the purposes therein expressed.
In witness thereof I have hereunto set my hand and affixed my official seal this ____ day of _____________ , 20___.
(Print Name) Notary Public My Commission Expires ________________________________ |
(Ord. 56-2005. Passed 10-3-05.)