(A) Surveyor’s certificate.
State of ) ss
County of )
This is to certify that I, _____________________, a certified land surveyor No. ________, have surveyed and subdivided the following described property:
Given under my hand and seal at ______________, this _____ day of __________, 20__.
(B) Owner’s certificate.
State of ) ss
County of )
This is to certify that the undersigned is the owner of the land described in the annexed plat, and that he has caused the same to be surveyed and subdivided as indicated thereon, for the uses and purposes therein set forth, and does hereby acknowledge and adopt the same under the style and title thereon indicated:
_______________________
_______________________
(Address)
Dated this ________ day of _______________, 20____.
(C) County Clerk’s certificate.
State of ) ss
County of )
I, _______________, County Clerk of ______ County, ___ do hereby certify that there are no delinquent general taxes, no unpaid forfeited taxes and no redeemable tax sales 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 at _____________ this _______ day of _____________, 20___.
(D) Notary certificate.
State of ) ss
County of )
I, ____________, Notary Public, in and for said county in the state aforesaid, do hereby certify that personally known by me to be the same persons whose names are subscribed to the foregoing instrument as such owners, appeared before me this day in person and acknowledged that they signed and delivered the annexed plat as their own free and voluntary act for the uses and purposes therein set forth.
Given under my hand and notarial seal this _________ day of ______________, 20___, at ____.
____________________________
(NOTARY PUBLIC)
(E) Certificate as to special assessments.
State of ) ss
County of )
I do hereby certify that there are no delinquent or unpaid current or forfeited special assessments or any deferred installments thereof that have not been apportioned against the tract of land included in the plat.
______________________ Collector of Special Assessments
Dated at _________, this ________ day of __________________, 20____.
(F) Certificate of County Superintendent of Highways.
State of ) ss
County of )
I, __________________, County Superintendent of Highways of said county, do hereby certify that the subject plat has been examined, by me and found to comply with the highway requirements as set forth in the regulations governing plats of subdivided land adopted by the City Council, with the following exceptions:
__________________________________________
County Superintendent of Highways
Dated this __________ day of ______________, 20____.
(G) Plan Commission certificate.
State of ) ss
County of )
Approved this _______ day of _____________, 20____.
City of __________________
Plan Commission
__________________
Chairperson
(H) Superintendent of Water and/or Sewer System certificate.
State of ) ss
County of )
I,_______________________, do hereby certify that the required improvements have been installed, or the required guarantee bond has been posted for the completion of all required land improvements
______________________________________
Superintendent of Water and/or Sewer Systems
(I) City Council certificate.
Approved and accepted this ______ day of ____________, 20____.
CITY COUNCIL OF ______________________
BY _______________, Mayor
(1975 Code, § 34.29)