The documents and papers required by this title shall be in substantially the following forms:
A. Survey Certification:
State of Illinois )
County of Cook ) ss.
I, do hereby certify that I have surveyed the property in the above caption and that I have subdivided the same into blocks and lots as shown on the hereon drawn plat. This plat correctly represents said survey and subdivision in every detail. Monuments shown are in place as located. All lot corners are marked with . Dimensions are in feet and decimal parts thereof, corrected to 62 degrees F. temperature.
Dated this date of A.D. .
Illinois Registered Land Surveyor No. .
(SEAL)
(1970 Code §35.84)
B. Certificate Of Ownership:
State of Illinois )
County of Cook ) ss.
We, and , do hereby certify that we are the owners of the property described in the above caption and that as such owners we have caused the said above described property to be surveyed and subdivided as shown on the hereon drawn plat, as our own free and voluntary act and deed.
(SEAL)
(SEAL)
State of Illinois )
County of Cook ) ss.
I, , a Notary Public in and for said County and State, do hereby certify that and , personally known to me to be the same persons whose names are subscribed to the above certificate appeared before me this day in person and acknowledged that they signed the above certificate as their own free and voluntary act and deed for the uses and purposes therein set forth.
Given under my hand and notarial seal this day of A.D. .
(SEAL)
(Ord. 02-08, 6-5-2002)
ADDITIONAL CERTIFICATION IF PROPERTY UNDER TRUSTEESHIP:
The undersigned as trustee under the provisions of a deed or deeds in trust duly recorded and delivered to said trustee in pursuance of a trust agreement dated and known as Trust No. as owner caused this subdivision and plat thereon to be made.
BY:
ATTEST:
State of Illinois )
County of Cook ) ss.
I, , a Notary Public in and for said County and State, do hereby certify that , of the and of said , who are personally known to me to be the same persons whose names are subscribed to the foregoing instrument as such respectively appeared before me this day in person and acknowledged that they signed and delivered the said instrument as their free and voluntary act of the said trustee for the uses and purposes therein set forth and the said did also then and there acknowledge that he, as custodian of the Corporate Seal of said trustee did affix the said seal of the said trustee to said instrument as his free and voluntary act and as the free and voluntary act of said trustee for the uses and purposes therein set forth.
Given under my hand and notarial seal this day of A.D. .
Notary Public
C. Certification By County Clerk: County Clerk will provide text with stamp. Allow space four inches by four inches (4" x 4").
D. Certification By Village Treasurer:
I hereby certify that there are no delinquent special assessments or unpaid current special assessments in the above described property.
Date Village Treasurer
(SEAL)
(1970 Code §35.84)
E. Certificate Of Conveyance:
I hereby certify that proper and satisfactory conveyance of good title to the Village of Worth have been executed and filed with the Village Clerk applying to rights of way for streets, alleys and easements and for other public use, and I further certify that proper and satisfactory conveyance of good title has been made to the Worth-Palos Park District applying to lands designated on the plans for parks and playgrounds. This certification shall not apply to small subdivisions.
Date Village Clerk
(Ord. 02-08, 6-5-2002)
F. Approval Of Engineer: (Rep. by Ord. 02-08, 6-5-2002)
G. Improvement Guarantee:
This is to certify that provisions have been made in accordance with the subdivision regulations for guarantee of performance in the construction of the following improvements (list improvements).
Village Clerk
Date
This is to certify that the following improvements are complete and that inspection reports show them to be in accordance with the Village of Worth standards and requirements and that surety has been posted to guarantee repair of any damage that may be inflicted upon the improvements listed in the course of completion of the subdivision (list improvements).
Village Clerk Village Engineer
Date Date
The certifications in this subsection may not be necessary for all improvements, and the necessity for their completion may vary according to the nature of the proposed improvements. (Ord. 02-08, 6-5-2002)
H. Approval Of Real Estate Development Board:
Approval by the Real Estate Development Board of the Village of Worth in accordance with Subdivision Regulations at a meeting held on the day of , A.D. .
By
Board Official
Attest:
Village Clerk
(SEAL)
(1970 Code §35.84)