Approved this _____day of_____ 20___ _______________________________________
Village Engineer
Approved this_____ day of _____20___ _______________________________________
Union County Health Dept.
(if applicable)
Approved this _____day of _____20___ _______________________________________
Chairman, Village Planning Commission
Transferred this_____ day of _____ 20___ _______________________________________
Union County Auditor
Filed for Record this _____day of ________20_____ at________________________ __ m.
Recorded this _____day of _______ 20___ in Plat Cabinet __________Slide____________
_____________________________________
Union County Recorder