This is to certify that the undersigned is the legal owner of the property to be dedicated to the town and is authorized to sign all documentation related to the final plat for: .
Name:
Date:
Corporate Seal
Notarized:
('81 Code, § 154.53) (Ord. passed 6-9-92; Am. Ord. 99055, passed 11-9-99; Am. Ord. 02045, passed 7-9-02; Am. Ord. 07015, passed 6-12-07; Am. Ord. 13027, passed 6-11-13)