§ 154.072 CERTIFICATION BLOCKS FOR SUBDIVISION AND SITE PLAN.
 
(LEGAL NAME OF SUBDIVISION OR SITE PLAN)                                                                               
                                                                                                                                                                       
Description:                                                                                                                                                      
                                                                                                                                                                       
                                                                                                                                                            
                                                                                                                                                                       
A plat/site plan of a parcel of land in the City of Williams, Arizona located in the                   1/4                   1/4, Section              T              N, R              E of the                                                          P.M. and more particularly described as follows:
 
Beginning at the.......(LEGAL DESCRIPTION)........containing ________ acres.
 
Dedication:
Know all men by these presents, that we (names of all the landowners) being the sole owners of the land described herein, have caused said land to be laid out and platted/site planned under the name of and do hereby dedicate to the public forever all streets, alleys and utility easements as indicated hereon.
 
In witness whereof, we have hereunto set our hands and seals this               day of                                 , 20          .
 
                                                                                                                                                          
John Doe                              Mary Doe
 
 
 
Notarial Certificate:
 
STATE OF ARIZONA      )
COUNTY OF                                               )
 
The foregoing instrument was acknowledged before me by                                                    , this                    day of                               , 20                      . Witness my hand and seal.
 
My commission expires                                            ,                       .
 
 
 
Surveyor’s Certificate:
 
I certify this plat/site plan accurately represents the results of a survey made by me or under my direct supervision and done in accord with applicable State of Arizona requirements.
 
                                                                    Arizona Reg. No                                               
 
 
 
Easement Approval: Utility easements are adequate as shown and are hereby approved.
 
 
 
City Engineer’s Approval:
 
Approved this the                     day of                                      , 20                  .
 
                                                                                
City Engineer
 
 
 
Planning and Zoning Commission Approval:
 
Approved this the                          day of                                    , 20                   .
 
                                                                                  
Chairperson, Williams Planning and Zoning Commission
 
 
 
Mayor’s Certificate:
 
This is to certify that a plat/site plan of the above described property was approved by Ordinance No. ____________ of the City of Williams, passed and adopted on the day of                                 A.D. 20           , and that the Mayor of the City of Williams, as authorized by said ordinance, on behalf of the City, hereby acknowledges and adopts the said plat/site plan upon which this certificate is endorsed for all purposes indicated thereon.
 
                                                                                          
Mayor               Attest
 
Seal
 
 
 
Clerk and Recorder’s Certificate:
 
STATE OF ARIZONA      )
COUNTY OF COCONINO      )
 
I hereby certify that this instrument was filed in my office at                     o’clock           M this the                          day of A.D. 20               , and is recorded in plat book No.               , page no.                 , reception no.                    .
 
                                                                                                                                             
Deputy            Recorder               Fees
 
 
(Prior Code, § 10-6.01) (Ord. 747, passed - -1995)