(1) Plan preparer’s statements.
PLAN PREPARER’S STATEMENTS - Model Forms |
I, _______________________, a registered surveyor of the Commonwealth of Pennsylvania, do hereby certify that the Plan, prepared from a field survey on __________________, 20____ correctly represents the property boundary of the proposed subdivision or land development. |
______________________ ______________________________ |
Date Registered Surveyors’ Signature |
I, _______________________, a registered surveyor, registered landscape architect or licensed professional engineer in the Commonwealth of Pennsylvania, do hereby certify that the accompanying application, plans and supporting documentation are true and accurate, to the best of my knowledge. |
______________________ ______________________________ |
Date Plan Preparer’s Signature |
______________________ ______________________________ |
Address Printed Name |
(2) Owner’s statement.
OWNER’S STATEMENT - Model Form |
I/we make this statement being duly sworn according to law. I/we state that for the land involving the accompanying plans, we are the majority owners of this property or the authorized officers of the corporation that owns this property, and are in peaceful possession of it, and that there are no suits pending affecting the title of same, and that I/we acknowledge and endorse the accompanying plans and that we will propose a record plan for recording (as applicable), after receiving all required township approvals. |
__________________________ ______________________________ |
OWNER’S OR AUTHORIZED CORPORATE OFFICER’S SIGNATURES |
__________________________ ______________________________ |
Printed Name Printed Name |
SWORN AND SUBSCRIBED BEFORE THIS ____________ DAY OF _________________, 20_____. |
(3) Permit/approval certification.
PERMIT/APPROVAL CERTIFICATION - Required, Unless Alternative Text Pre-Approved by the Township |
I/we hereby certify this date of _________________ that I/we am/are the owners or authorized equitable owners of the property shown and depicted on the accompanying plans and that I/we and my/our heirs and assigns shall comply with all requirements and obtain all permits and approvals required by all local, state and federal agencies and bodies; and I/we agree and acknowledge that any approval of this plan by Upper Milford Township is contingent upon my/our obtaining such permits and approvals, and that if all such permits and approvals are not obtained as required, any and all approvals given by Upper Milford Township with respect to this plan shall automatically become null and void without further action on the part of the Upper Milford Township. |
_______________________________ |
_______________________________ |
_______________________________ |
Notary Public |
My Commission Expires: |
(4) Approval/review block.
APPROVAL/REVIEW BLOCK |
REVIEWED BY THE LEHIGH VALLEY PLANNING COMMISSION |
__________________________ ___________________ |
Lehigh Valley Planning Commission Staff Person Date |
REVIEWED BY THE TOWNSHIP ENGINEER |
__________________________ ___________________ |
Township Engineer Date |
REVIEWED BY THE UPPER MILFORD TOWNSHIP PLANNING COMMISSION |
__________________________ ___________________ |
Chair Secretary Date |
APPROVED BY THE UPPER MILFORD TOWNSHIP BOARD OF SUPERVISORS AND ACCEPTED FOR RECORDING |
___________________ ___________________ ___________________ |
(Ord. 127, passed 3-18-2010)