Reviewed this day of 20
Chairman, Township
Trustees
Approved this day of 20
Champaign County
Engineer
Approved this day of 20
Champaign County
Health Dept.
Reviewed this day of 20
Champaign Soil and
Water Conservation
District
Approved this day of 20
Chairman, Urbana City
Planning Commission
Transferred this day of 20
Champaign County
Auditor
Filed for record this day of , 20 at m.
Recorded this day of , 20 in Plat Book Page No. .
Champaign County Recorder
(1984 Code Sec. 151.145)