APPENDIX A:  REQUIRED CERTIFICATES AND FORMS.
Appendix A Certificates and Forms available in PDF format for ease of printing, click HERE
   A.   REQUIRED CERTIFICATES: PRELIMINARY PLATS. The following wording is recommended for all required certificates:
 
Municipal Planning Commission Approval
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
Approved by the Planning Commission of the (village/city) of (name) this (day) of (month, year).
                                 (signature)
                                 Chairman
 
 
Township Highway Commissioner’s Approval
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
Approved by the (name) Township Highway Commissioner this (date) of (month, year).
                           (signature)
                           Township Highway Commissioner
 
 
Soil Classifier’s Certification
I, (name), hereby certify that the soil mapping represented on Sheet 2/this sheet was done by me in accordance and complies with the subdivision requirements of the McHenry County Unified Development Ordinance.
                           (date, signature)
 
 
Planning and Development Committee Approval
This tentative plat approved by the Planning and Development Committee of the McHenry County Board this (date) of (month, year).
                     By
                     (signature)
                     Chairman, Planning and Development Committee
NOTE:
This approved tentative plat must be submitted with the final plat on or before (date) of (month, year). Failure to submit final plat by, on or before such date will void this approval of tentative plat.
 
   B.   REQUIRED CERTIFICATES: FINAL PLATS. The following wording is recommended for all required certificates:
 
Certificate Indicating Proximity to Municipalities
(Choose appropriate certificate)
Option 1:
This plat of subdivision does not lie within 1-1/2 miles of any existing corporate municipalities.
                              (signature)
                              Illinois Land Surveyor
Option 2:
This plat of subdivision lies within 1-1/2 miles of the following corporate municipality or municipalities: (list)
                              (signature)
                              Illinois Land Surveyor
 
 
Certificate Indicating Approval by Municipality
Approved by the (village/city) of (name) at a meeting held this (day) of (month, year).
   (signature)                        (signature)
   President/Mayor                     Clerk
 
 
Developer Donation to School Districts
Option 1: Land Donation
In accordance with the School Developer Donation Requirements of the McHenry County Unified Development Ordinance, a land donation has been made. A letter (or signed agreement) confirming this donation, signed by the Superintendent of (school district name and number) and acknowledged by the Regional Superintendent of Schools, and has been recorded as Document #___ in the County Recorder’s Office.
Option 2: Incorporated Municipality within 1-1/2 Miles School Contribution
An agreement has been entered into between the owner and the (Village/City) of (name) to meet the school contribution requirements of that municipality. That agreement has been counter-signed by the Regional Superintendent of Schools acknowledging the contribution to be at least equal to that required by County ordinance and recorded as Document #___ in the County Recorder’s Office.
Option 3: Cash Donation
Developer donations to school district(s)   (list district numbers) will be made in accordance with School Developer Donation Requirements of the McHenry County Unified Development Ordinance.
 
 
Owner’s Certificate and Notary Certificate
Owner’s Certificate
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
This is to certify that the undersigned, (names), is/are the legal owner(s) of record of the land described on the plat hereon drawn and shown hereon as subdivided, and that he/she/they has/have caused said land to be surveyed, subdivided, staked, and platted as shown hereon, for the purpose of having this plat recorded as provided by law.
In witness whereof I/we have hereunto set my/our hand(s) and seals this (day) of (month, year).
(Seal)
   Notary Certificate
STATE OF ILLINOIS      )
               )ss
County of McHenry         )
I, (name), a Notary Public in and for said county and State aforesaid, do hereby certify that (list names), personally known to me to be the same person(s) whose name (s) is (are) subscribed to the foregoing instrument as such owner(s) appeared before me this day in person and acknowledged that he/she/they signed and delivered the annexed plat as his/her/their own free and voluntary act for the uses and purposes therein set forth.
Given under my hand and notarial seal this (day) of (month, year) at  (location) Illinois.
                              (signature)
                              Notary Public
                              My Commission Expires (date)
 
 
Township Highway Commissioner’s Certificate and Notary Certificate
I, (name), do hereby certify that this final plat and accompanying engineering drawings meet all requirements of the McHenry County Unified Development Ordinance pertaining to township roads. I hereby agree to accept and maintain the township roads of this subdivision upon their completion in accordance with the laws of the State of Illinois.
                              (signature)
                              (Name)
                              Township Highway Commissioner
Given under my hand and notarial seal this (day) of (month, year) at (location) Illinois.
                              (signature)
                              Notary Public
                              My Commission Expires (date)
 
 
Surveyor’s Certificate
This is to certify that I, (name), as Illinois Land Surveyor No. (number), have surveyed and subdivided the property as described and as shown by the annexed plat, which is a correct representation of said survey and subdivision. All distances are shown in feet and decimals thereof.
Given under my hand and notarial seal this (day) of (month, year) at (location) Illinois.
 
 
Certificate Regarding Flood Hazard
(Choose appropriate certificate)
Option 1:
I certify that none of the above described property is located in a flood hazard area as identified by the Federal Emergency Management Agency.
                                 (signature)
                                 Illinois Land Surveyor
Option 2:
I certify that none of the above described property is located in a flood hazard area as identified by the. Federal Emergency Management Agency except as indicated on (community & panel no.)
                                 (signature)
                                 Illinois Land Surveyor
 
 
Certificate Regarding Monuments
This to certify that I, (name), as Illinois Land Surveyor No. (number), have set all subdivision monuments and described them on this final plat as required by the Plat Act of the Illinois Revised Statutes.
                                 (signature)
                                 Illinois Land Surveyor
 
 
Local Health Department Certificate
No public sewer system exists to serve this subdivision. This plat is approved with respect to on- site sewage disposal and the acreage involved has been reviewed in accordance with established soil suitability evaluation procedures.
                                 (signature)
                                 Public Health Administrator
 
 
County Clerk’s Certificate
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
I, (name), County Clerk in McHenry County, Illinois do hereby certify that there are no delinquent general taxes, no unpaid current general taxes, no unpaid forfeited taxes, and no .redeemable tax against any of the land included in the annexed plat.
I further certify that I have received all statutory fees in connection with the annexed plat.
Given under my hand and seal of the County at Woodstock, Illinois this (day) of (month, year).
                                 (signature)
                                 County Clerk
 
 
Planning and Development Committee Certificate
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
Approved this (day) of (month, year).
                           (signature)
                           Planning and Development Committee Chairman
                           (signature)
                           Zoning Enforcement Officer
 
 
Easement Crossing Certificate
All easements indicated as road construction and maintenance easements adjacent to road rights-of-way on this plat are reserved for and granted to the Township of (name), or the County of McHenry, their successors and assigns, for road construction and maintenance including maintenance of drainage ditches and slopes. Said easement may be crossed perpendicularly by driveways and utilities and drainage or retention/detention easements with the consent of the grantee. Said grantee reserves the right to cut trim, or remove trees, bushes and roots as may be reasonably required incident to the rights herein given, and the right to enter upon said property for all such purposes.
 
 
Covenants and Restrictions
Covenants and restrictions covering this plat of subdivision have been recorded as Document No. (number).
 
 
Act in Relation to the Regulation of Rivers, Lakes and Streams Certificate
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
Approved by the Department of Transportation of the State of Illinois insofar as this subdivision plat, showing lands bordering upon or including public waters of the State of Illinois, relates to the provisions of section 7 of “An Act in relation to the Regulation of Rivers, Lakes, and Streams of the State of Illinois” approved June 10, 1911, as amended, requiring review and approval by said Department as to the boundary line between private interests and public interests.
Dated at Springfield, Illinois, this (day) of (month, year).
Approval recommended:   (signature)
Director, Division of Water Resources
State of Illinois, by its Department of Transportation
By:      (signature)
         Secretary
 
   C.   REQUIRED CERTIFICATES: PLATS OF VACATION. The following wording is recommended for all required certificates:
 
Township Highway Commissioner’s Certificate
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
I, (name), do hereby certify that this plat of vacation meets all requirements of the McHenry County Unified Development Ordinance pertaining to roads. I hereby acknowledge and accept the vacation of (list rights-of-way names and widths) in accordance with the laws of the State of Illinois.
                              (signature)
                              (Name)
                              Township Highway Commissioner
Given under my hand and notarial seal this (day) of (month, year) at (location) Illinois.
                              (signature)
                              Notary Public
                              My Commission Expires (date)
 
 
Utility and Cable TV Company Easements
In accordance with the requirements of the McHenry County Unified Development Ordinance pertaining to plats of vacation, the following utility companies (list of all companies involved) have acknowledged and approved in writing the vacation of easements as set forth on this plat and recorded as Document No. (numbers) in McHenry County Recorder’s Office this (day) of (month, year).
 
 
Certificate Indicating Approval by Municipality
This plat of vacation approved by the (village/city) of (name) at a meeting held this (day) of (month, year).
      (signature)                        (signature)
      President/Mayor                     Clerk
 
   D.   REQUIRED FORMS: LETTER OF CREDIT. The following is required for all letters of credit:
 
Letter of Credit
To: McHenry County Building and Zoning Department
We hereby issue our irrevocable letter of credit in favor of the McHenry County Building and Zoning Department on behalf of (parties), in the total amount of (amount). This letter of credit is issued in place of a bond guaranteeing construction and subdivision improvements. The subdivision improvements are set forth in the drawings and specifications attached hereto and made a part thereof.
In the event of the non-performance by the beneficiary to complete these improvements by (date) we hereby authorize the McHenry County Building and Zoning Department on behalf of the County of McHenry to draw the total amount of this irrevocable letter of credit.
This irrevocable letter of credit established by us shall expire only on written release by the McHenry County Building and Zoning Department, the Township Highway Commissioner, and the engineer engaged by the owner to supervise construction. This irrevocable letter of credit shall remain in effect without regard to any default in payments owed us by the beneficiary. The consideration for this letter of credit is provided by agreements between the financial institution and the beneficiary herein and the approval of the (name of subdivision) plat by the McHenry County Board.
 
   E.   REQUIRED FORMS: FORM OF AGREEMENT ACCOMPANYING SECURITY. The following is required for all forms of agreement accompanying security:
 
Form of Agreement
This agreement made this (day) of (month, year) by developer, hereinafter called the developer, and the County of McHenry, a body politic and corporate, hereinafter called County.
The developer is the owner of certain lands lying within McHenry County, Illinois, and intends to develop and improve said lands.
The developer has submitted to the County of McHenry, Illinois, a final plat of subdivision, said subdivision being known as (name of subdivision).
The developer has contemporaneously herewith submitted plans and specifications for required land improvements, and has retained (name), a professional engineer, to establish lines and grades for all earth-work and drainage and to exercise general supervision as construction progresses all pursuant to the provisions of the McHenry County Unified Development Ordinance.
The developer desires to evidence his agreement to make and install the required land improvements pursuant to the provisions of said regulations.
IT IS HEREBY AGREED, in consideration of the approval by the County Board of McHenry County, Illinois, of the final plat of subdivision of (name of subdivision), as follows:
   1.   The developer does hereby agree and undertake to make and install all improvements made and specified and approved by the Staff Plat Review Committee of McHenry County and the McHenry County Board, according to the provisions of the McHenry County Unified Development Ordinance in accordance with the following schedule:
      A.   All work except the bituminous surface and seeding, by (date).
      B.   The bituminous surface and seeding, by (date).
   2.   The developer does further agree to deliver to the County of McHenry securities in the total amount of (amount), said securities designed to guarantee the completion of all improvements referred to in Paragraph 1 above in accordance with the plans and specifications submitted and approved by the County Board of McHenry County. It is understood that in the event that said improvements are not installed on or before the dates set forth in Paragraph 1, said securities shall be in default and the County of McHenry shall be entitled to present demands for delivery of the funds secured through the security.
IN WITNESS WHEREOF, the developer and the County of McHenry have caused this agreement to be executed the day and year written above.
COUNTY OF MCHENRY, ILLINOIS, a body politic and corporate
                              By
                              (signature)
                              Chairman of the County Board
ATTEST:
(signature)                           (signature)
County Clerk                              Developer
BY
(signature)
(capacity of party signing for developer)
 
   F.   REQUIRED FORMS: AFFIDAVIT OF OWNERSHIP. The following form is required for an affidavit of ownership, as applicable (legal owner of record, land trust, mortgage company):
 
Legal Owner of Record
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
AFFIDAVIT OF OWNERSHIP
The undersigned, being first duly sworn on oath deposes and states as follows:
That he/she is the legal owner of record of the following described real estate:
(insert or attach legal description)
which will be subdivided as shown on a plat of subdivision entitled (subdivision name)
That the above described property does not have an outstanding mortgage and/or is not included in a land trust,
and,
That he/she has the legal authority to cause his signature to be placed on the plat of subdivision above noted.
FURTHER AFFIANT SAYETH NOT
By
(signature)
(print or type name)
Subscribed and sworn to before me this (day) of (month, year)
(signature)
Notary Public
My Commission Expires (date)
 
 
Land Trust
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
AFFIDAVIT OF OWNERSHIP
The undersigned, being first duly sworn on oath deposes and states as follows:
That they are the trustees of a land trust, being Land Trust No. (number) of (name of entity and address) of the following described real estate:
(insert or attach legal description)
which will be subdivided as shown on a plat of subdivision entitled (subdivision name)
That they have given their consent to the beneficiary(ies) of the aforementioned land trust to cause the above described property to be subdivided, and
That they have the legal authority to cause their signature as trustee of said land trust to be placed on the plat of subdivision above noted.
FURTHER AFFIANT SAYETH NOT
By (trust officer)
(signature)
(print or type name)
Subscribed and sworn to before me this (day) of (month, year)
(signature)
Notary Public
My Commission Expires (date)
 
Mortgage Company
STATE OF ILLINOIS   )
            )ss
County of McHenry      )
AFFIDAVIT OF OWNERSHIP
The undersigned, being first duly sworn on oath deposes and states as follows:
That they are the mortgagee on the following described real estate:
(insert or attach legal description)
which will be subdivided as shown on a plat of subdivision entitled (subdivision name)
That they have given their consent to (name) the mortgagor, to cause the above described property to be subdivided and place his signature on the plat of subdivision above noted.
FURTHER AFFIANT SAYETH NOT
By
(signature)
(print or type name)
Title:
For:
Subscribed and sworn to before me this (day) of (month, year)
(signature)
Notary Public
My Commission Expires (date)
 
   G.   REQUIRED AGREEMENTS: SCHOOL INDEMNIFICATION.
 
Agreement Regarding the School Land Donation Or Cash Contribution In Lieu Of Donation Indemnification
WHEREAS, the County of McHenry, Illinois, on behalf of itself, its officers, employees and independent contractors (the “County”), through its ordinances requires that developers make contributions to the County, that the County, in turn, may make available for other government bodies that are affected by the subdivision improvements; and
WHEREAS, such contributions may be in land or in money and, when transferred or paid over to those government bodies, inure to the benefit of those government bodies and not entirely to the direct benefit of the County; and
WHEREAS, from time to time within the County, and within other municipalities, disputes have arisen regarding the validity and amount of such contributions; and
WHEREAS, the County is willing, at its discretion, to continue seeking the contribution of land or money but wishes to procure a commitment from other government bodies benefited by the receipt of such contributions that those government bodies will (a) acknowledge that the requirement that such contributions be made are totally within the discretion of the County as to their existence, manner and amount; (b) the other government body that benefits from the contribution will pay the cost of defending any lawsuit that is filed challenging the appropriate amount of the contributions, the time at which they are to be made or any other aspect of the contributions; and (c) that the benefited government body will comply with the terms of a final and non-appealable judicial determination by a court of competent jurisdiction rendered in connection with the lawsuit; and
WHEREAS, the County is willing, in its discretion, to pay over or require contributions only to other government bodies that execute this Agreement;
NOW, THEREFORE, IT IS AGREED between the County on behalf of itself and its officers, employees, and independent contractors, and ___________________________________________, a government body within the State of Illinois (the “Benefiting Government”), and in consideration for the payment of money or the transfer of the land to the Benefiting Government, which the County from time to time may within its discretion cause to be made by developers, the Benefiting Government does agree, as follows:
1.   The Benefiting Government acknowledges that, except as otherwise provided in the County’s ordinances, the County is not obligated to cause the payment of money or the transfer of land to the Benefiting Government. The Benefiting Government recognizes that the County may, at its sole discretion, amend its ordinances or annexation agreements or its practices to discontinue the payment of contributions to the Benefiting Government.
2.   In the event a lawsuit is filed against the County, the Benefiting Government, and/or others by any person, corporation, or entity that challenges the appropriateness, amount, timing or any other aspect of a contribution that, pursuant to the terms of the County’s ordinances, has been paid or is due to the Benefiting Government, then the Benefiting Government agrees to execute a Joint Cost Sharing and Litigation Management Agreement in Defense of McHenry County Ordinances.
3.   In further consideration of the continued payment by the County to the Benefiting Government of the subject contributions of land or money, the Benefiting Government agrees that its obligations under a Joint Cost Sharing and Litigation Management Agreement in Defense of McHenry County Ordinances shall extend to both past and future cash and land contributions.
4.   On or before June 1st of each year, every Benefiting Government that receives payments from the County under this Agreement shall submit a report to the County describing the manner in which the payments have been used. When this Agreement provides that money turned over to Benefiting Government is to be used for a specific purpose or within a specific time period, the report shall address those issues. If the Benefiting Government should fail to file such a report with the County, the County may delay the payment of any additional funds due the Benefiting Government until such time as a full report containing adequate information is transmitted to the County. The Benefiting Government shall also execute this Agreement, and any related agreements, and shall do so on or before June 1st of each year thereafter. The Benefiting Government shall also pass a resolution that dedications of land or cash contributions in lieu thereof are an integral part of the efforts of the Benefiting Government to address the impact of growth within its jurisdiction.
5.   This Agreement shall be terminated by either party for any reason or no reason at all upon 30 days prior written notice to the other party evidencing the intention to so terminate this Agreement. But the termination of this Agreement shall not affect the continuing obligation of the Benefiting Government or the County with regard to claims or damages allegedly arising out of the County’s efforts prior to termination to distribute contributions, or to the actual distribution of contributions.
DATED this _________day of, 20___
County of McHenry                  Benefiting Government:
______________________________            ________________________
County Chairman         Title:
(SEAL)                           (SEAL)
ATTEST:                           ATTEST:
____________________________            ________________________
County Clerk                        Secretary
 
 
Agreement Regarding a Delay in Receipt of Cash Contributions
The County of McHenry (the “County”) and______________________, (“Developer”) agree as follows:
The County has approved a final plat of subdivision or a final plat of a planned development at the request of Developer for the real estate legally described in Exhibit 1 attached hereto and made a part hereof (the “Land”). Accordingly, pursuant to the McHenry County Unified Development Ordinance, certain cash contributions in lieu of dedications for school lands are immediately due the County from the Developer.
1.   Developer has, however, requested that the payment of the aforesaid cash contributions be delayed and that the same become due and payable on a per dwelling unit basis at the time the County issues a building permit for the particular dwelling unit.
2.   In consideration for the County agreeing to delay its receipt of the cash contributions in accordance with Paragraph 1 above, Developer hereby agrees as follows:
a.   The amount of cash contributions owed shall be calculated based upon Chapters 16.60 and 16.76 of the McHenry County Unified Development Ordinance or as provided for in such other future ordinance amending or replacing said ordinance which is in effect at the time of the issuance of a building permit; and
b.   Notwithstanding any present or future law, regulation and/or legal precedent to the contrary, the unit of local government that is the ultimate recipient of the subject cash contributions may expend such contributions for any of the following purposes intended to serve immediate or future needs of the residents and children of the Developer’s subdivision or planned development: (1) for the acquisition of land; (2) for site improvements such as, by way of example, streets, curbs, gutters, stormwater control and utility extensions; (3) for construction of capital facilities, including, by way of example, new buildings and structures, and the expansion or enhancement of existing buildings and structures; and (4) for so-called soft costs directly related to the foregoing items (2) or (3) such as architectural and engineering costs.
3.   This Agreement constitutes a covenant that is appurtenant to and runs with the Land. Either this Agreement or a memorandum thereof may be recorded against legal title to the Land either party hereto; provided, however, it shall be a condition of the County’s issuance of the first building permit for a dwelling unit on the Land that Developer shall provide satisfactory evidence to the County that this Agreement or a memorandum thereof has been recorded against legal title to the Land.
4.   Developer represents and warrants to the County that it is the sole holder of record fee title to the Land.
IN WITNESS WHEREOF, the County and the Developer have caused this Agreement to be duly authorized, executed and entered into as of this _____ day of _____________________, 20_____A.D.,
___________________________         _______________________
County Chairman                  Developer
ATTEST:____________________
        County Clerk
 
   H.   REQUIRED CERTIFICATES: CONSERVATION DESIGN.
 
Application for Special Service Area for Long-Term Open Space and Stormwater Management
County of McHenry, Illinois
Application for a Special Service Area for Long-Term Open Space and Stormwater Management
Page 1 of 2
Applicant:
   Name         ___________________________________________________
   Company      ___________________________________________________
   Address      ___________________________________________________
   City, State, ZIP   ___________________________________________________
   Phone         ________________________ Fax _______________________
   Email         ___________________________________________________
Legal Status of Applicant:  ______________________________________________
_____________________________________________________________________
Project Information:  (Attach documentation as necessary)
   Name of CDD     ______________________________________________________
   Special services to be provided _________________________________________
   ___________________________________________________________________
   ___________________________________________________________________
   ___________________________________________________________________
   Boundaries of proposed SSA ___________ (Insert legal description of subdivision)
   ___________________________________________________________________
   ___________________________________________________________________
   __________________________________________________
   Parcel Identification Number(s) __________________________________________
   ________________________________________________________________
   General Location of CDD_______________________________________________
   ___________________________________________________________________
Funding Information:
   Estimated amount of funding required _____________________________________
   Stated need and local support for proposed Special Service Area _______________
   ___________________________________________________________________
 
 
County of McHenry, Illinois
Application for a Special Service Area for Long-Term Open Space and Stormwater Management
Page 2 of 2
Attach the following additional information:
   •   Plan(s) for long-term management, operation and maintenance for open space areas and stormwater drainage system(s).
   •   Description of funding sources for long-term plan(s).
   •   Prepared affidavit for future owners to sign stating that there will be no objection to the SSA. (This criteria is only required if lots have been sold and transferred during the sixty (60) day wait period.)
   •   Homeowners’/Property owners’ Association Covenants and Restrictions (By-laws).
   •   Accurate map of SSA boundary
Additional information to be provided once available:
   •   Copy of recorded plan(s) for long-term management, operation and maintenance of open space areas and stormwater drainage system(s).
   •   Recorded certification of incorporation of the HOA/POA.

________________________________________      _______________________
(Signature of owner of record)                  (Date)
________________________________________      _______________________
(Signature of owner of record)                  (Date)
________________________________________      _______________________
(Signature of owner of record)                  (Date)
________________________________________      _______________________
(Signature of owner of record)                  (Date)
 
For Office Use Only
Subdivision Tracker Number:  ____________________
Date application was received:
Date Proposing Ordinance prepared:
Date of SPRC review:
Date of Publication for Notice:
Public Hearing date:
Date Proposing Ordinance approved:
Date sent to P&D Committee:
End of 60 day wait period:
Date Establishing Ordinance approved:
Date establishing Ordinance recorded:
 
 
 
Affidavit of No Objection for Special Service Area for Long-Term Open Space and Stormwater Management
STATE of ILLINOIS
COUNTY of McHENRY, ILLINOIS
Affidavit of No Objection
To the Establishment of a Special Service Area for Long-Term Open Space and Stormwater Management
I, ________ (Insert name of owner of record) ____________, under oath, state as follows:
(Note:  An Affidavit of No Objection is required for each owner of record.)
1.   I am the current owner of the property located at _____ (address of property) ___________,  in ____ (insert name of City) _____________, Illinois, ____ (insert township name) _______ McHenry County, Illinois more fully described as:
(Insert legal description and Parcel Identification Number)
2.   In accordance with the McHenry County Subdivision Ordinance and the Stormwater Management Ordinance, the property will be improved with open space areas and a stormwater drainage system; and
3.   The property owner is obligated to maintain the open space areas and stormwater drainage system with the property limits; and
4.   McHenry County ordinances requires the establishment of a Special Service Area pursuant to 35 ILCS 200/27-5 et seq., as a back-up vehicle in the event the homeowners’/property owners’ association fails to adequately carry out its duties of providing for the long-term maintenance of open space areas and stormwater drainage system; and
5.   The County of McHenry, Illinois requires that this SSA be established over the entire property to provide for the long-term maintenance; and
6.   The SSA is not yet established and requires the consent of all owners of record for property lying within the boundaries of the proposed SSA.
7.   The undersigned hereby agrees and signs this affidavit to the fact, that I, ___ (Insert name of owner of record) ____________ knowingly waive my statutory rights under 35 ILCS 200/27-35 to object to the establishment of the proposed Special Service Area and the proposed levy of taxes.
Date:  _______________________________________
Name:  ______________________________________
Address:  ____________________________________
Subscribed and Sworn to before me this
____________ day of _________________20___ A.D.
Notary Public:  _________________________________
 
(Ord. O-201410-10-035, passed 10-14-2014; Ord. O-201601-ZBA-006, passed 1-19-2016; Ord. O-201603-ZBA-010, passed 3-17-2016, App. A; Ord. O-201803-ZBA-10-08, passed 3-19-2018; Ord. O-201808-10-033, passed 8-21-2018)