OWNER S CERTIFICATE OWNER S NAME STATE OF NORTH DAKOTA ) ) SS COUNTY OF WILLIAMS )
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1 OWNER S CERTIFICATE I, THE UNDERSIGNED, BEING THE SOLE OWNER OF THE LAND PLATTED HEREIN, DO HEREBY VOLUNTARILY CONSENT TO THE EXECUTION OF SAID PLAT, AND DO DEDICATE THE ROAD EASEMENTS, ALLEYS, PARKS, AND PUBLIC GROUNDS AS SHOWN HEREON, INCLUDING ALL SEWERS, CULVERTS, BRIDGES, WATER DISTRIBUTION LINES AND SIDEWALK GROUNDS WHETHER SUCH IMPROVEMENTS ARE SHOWN OR NOT, TO THE PUBLIC USE FOREVER. I AGREE NOT TO VACATE ANY PORTION OF THIS PLAT WITHOUT THE CONSENT OF THE WILLIAMS COUNTY COMMISSION. I ALSO HEREBY DEDICATE EASEMENTS TO RUN WITH THE LAND FOR WATER, SEWER, GAS, ELECTRIC, TELEPHONE, OR OTHER PUBLIC UTILITY LINES OR SERVICES UNDER, ON, OR OVER THOSE CERTAIN STRIPS OF LAND DESIGNATED HEREON AS UTILITY EASEMENTS, WHETHER SHOWN OR EXISTING. OWNER S NAME DATE STATE OF NORTH DAKOTA ) ) SS COUNTY OF WILLIAMS ) BE IT KNOWN THAT ON THIS DAY OF, 20 A.D. BEFORE ME PERSONALLY APPEARED, KNOWN TO ME TO BE THE PERSON DESCRIBED HEREIN, AND WHO EXECUTED AND ACKNOWLEDGED THE ABOVE OWNER S CERTIFICATE TO BE HIS/HER VOLUNTARY ACT AND DEED. NOTARY PUBLIC
2 WILLIAMS COUNTY BOARD OF COMMISSIONERS THE ATTACHED PLAT AS SHOWN HEREON IS HEREBY APPROVED BY WILLIAMS COUNTY COMMISSION, STATE OF NORTH DAKOTA AND ACCEPTED THIS DAY OF, 20 IN ACCORDANCE WITH THE LAWS OF THE STATE OF NORTH DAKOTA, AND THE ORDINANCE OF WILLIAMS COUNTY. WILLIAMS COUNTY DOES NOT ACCEPT RESPONSIBILITY FOR THE CONSTRUCTION, REPAIR, OR MAINTENANCE, INCLUDING SNOW REMOVAL UPON ANY STREETS, ROADS, ACCESS EASEMENTS, OR OTHER PUBLIC WAYS PERTAINING TO THIS SUBDIVISION. UNTIL SUCH TIME AS PETITIONED AND ACCEPTED BY WILLIAMS COUNTY COMMISSION. _ DAVID MONTGOMERY, CHAIRMAN ATTEST: BETH M. INNIS WILLIAMS COUNTY COMMISSION WILLIAMS COUNTY AUDITOR STATE OF NORTH DAKOTA ) ) SS COUNTY OF WILLIAMS ) BE IT KNOWN THAT ON THIS DAY OF, 20 A.D. BEFORE ME PERSONALLY APPEARED DAVID MONTGOMERY, CHAIRMAN, WILLIAMS COUNTY COMMISSION AND BETH M. INNIS, WILLIAMS COUNTY AUDITOR KNOWN TO ME TO BE THE PERSONS WHO EXECUTED THE ABOVE CERTIFICATE AND ACKNOWLEDGED TO ME THAT HE/SHE EXECUTED THE SAME. NOTARY PUBLIC
3 CERTIFICATE OF WILLIAMS COUNTY RECORDER THIS PLAT WAS FILED AND RECORDED IN THE OFFICE OF THE WILLIAMS COUNTY RECORDER IN THE STATE OF NORTH DAKOTA AT O CLOCK.M. ON THE DAY OF, 20, A.D., AND WAS RECORDED AS DOCUMENT NO.. WILLIAMS COUNTY RECORDER DEPUTY, WILLIAMS COUNTY RECORDER
4 AUDITOR S CERTIFICATE OF TAXES I BETH M. INNIS, AUDITOR OF WILLIAMS COUNTY, DO HEREBY CERTIFY THAT CURRENT TAXES, DELINQUENT TAXES, OR DELINQUENT SPECIAL ASSESSMENTS OR INSTALLMENTS OF SPECIAL ASSESSMENTS OR TAX ESTIMATES FOR THE PROPERTY DESCRIBED ON THE ATTACHED INSTRUMENT ARE UNPAID IN THE AMOUNT OF $ PLUS PENALTY AND INTEREST. CERTIFIED THIS DAY OF, 20. BETH M. INNIS WILLIAMS COUNTY AUDITOR DEPUTY, WILLIAMS COUNTY AUDITOR
5 OWNER S CERTIFICATE (FOR BOUNDARY LINE ADJUSTMENTS) I,WE THE UNDERSIGNED, BEING THE OWNER OF THE LAND SHOWN HEREIN, DO HEREBY CONSENT TO THE EXECUTION OF SAID BOUNDARY LINE ADJUSTMENT AS SHOWN. OWNER S NAME DATE (LEGAL DESCRIPTION OF WHAT THEY OWN)
6 TOWNSHIP APPROVAL THIS IS TO CERTIFY THAT THE TOWNSHIP BOARD OF WILLIAMS COUNTY, NORTH DAKOTA HAS EXAMINED THE ATTACHED PLAT AND HAS AUTHORIZED ITS SUPERVISOR TO ATTACH HIS SIGNATURE AS APPROVAL THEREOF. THE TOWNSHIP BOARD DOES NOT ACCEPT RESPONSIBILITY FOR THE CONSTRUCTION, REPAIR, OR MAINTENANCE, INCLUDING SNOW REMOVAL UPON ANY STREETS, ROADS, ACCESS EASEMENTS OR OTHER PUBLIC WAYS PERTAINING TO THIS PLAT, UNTIL SUCH TIME AS PETITIONED AND APPROVED BY THE TOWNSHIP BOARD. SUPERVISOR CHAIRMAN DATE STATE OF NORTH DAKOTA ) ) SS COUNTY OF WILLIAMS ) ON THIS DAY OF, 20 BEFORE ME A NOTARY PUBLIC FOR SAID COUNTY AND STATE, PERSONALLY APPEARED, KNOWN TO ME TO BE THE PERSON DESCRIBED HEREIN, AND WHO EXECUTED THE SAME AS THEIR FREE ACT AND DEED. NOTARY PUBLIC
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