STATE of INDIANA ) COUNTY of BOONE ) SS: AFFIDAVIT OBSTRUCTION OF RECORDED EASEMENT IN FAVOR OF THE TOWN OF ZIONSVILLE, INDIANA I, , owner of real estate know as , in the Subdivision, common address of , Zionsville, Indiana, in consideration of the Town’s consent for the installation of an encroachment in a recorded and platted easement, do hereby certify, acknowledge, and affirm that the Town of Zionsville shall not be responsible or liable for any loss occasioned by the removal, alteration or destruction of (a) to be located within the drainage and/or utility easement of aforementioned Subdivision by the Town of Zionsville in the lawful exercise of its rights and duties in regards to the maintenance, repair, or improvement to said drainage and/or utility easement which runs in favor of the Town of Zionsville. By: Printed: Title: Accepted by the Town of Zionsville By: Building Commissioner State of ) County of SS: Subscribed and sworn to before me this day of , 20 . Notary Public Signature Notary Public Printed My Commission expires . My County of Residence is . This instrument prepared by , Building Commissioner, Town of Zionsville, Indiana. |
(1996 Code, § 9-74) (Ord. 2001-13, passed - -)