OWNER S CERTIFICATE OWNER S NAME STATE OF NORTH DAKOTA ) ) SS COUNTY OF WILLIAMS )

Similar documents
City of Grand Forks Staff Report

City of Yelm. Community Development Department BOUNDARY LINE ADJUSTMENT OR LARGE LOT SUBDIVISION

INSTRUCTIONS FINAL PLAT APPROVAL APPLICATION

Amendments to Existing Planned Development Districts Application Explained

1. NAME OF SUBDIVISION : DATE SUBMITTED: LOCATION OF SUBDIVISION : DATE OF PRELIMINARY APPROVAL BY TOWNSHIP SUPERVISORS:

SUBMITTAL REQUIREMENTS: The number indicates the number of copies for submittal (if applicable).

MINOR PLAT FILING APPLICATION

Ordinance No. 94-~ AN ORDINANCE APPROVING THE PURCHASE OF BICYCLE PATH EASEMENTS

The Drainage Encroachment Agreement has been revised as of August 2014.

OWNERS ACKNOWLEDGMENT

Road Easement Vacation Instructions

SUBMITTAL REQUIREMENTS: The number indicates the number of copies for submittal (if applicable).

PLANNING DIRECTOR. Approved by the Planning Director on this day of, A.D. 20. day of, A.D. 20. Approved by the Fire Chief on this

Scale 1" = 100' PLAT OF DEDICATION. Sheet 1 of 9 LEGAL DESCRIPTION. Areas of Dedication. Areas of Access Easement

The Filing Fee for a Minor Plat is $ PLUS $20.00 per lot created

SUBDIVISION APPLICATION

PARCEL MAP Rev JAN 01, 2010

Community Development Department Council Chambers, 7:30 PM, July 20, 2017

IRREVOCABLE OFFER OF DEDICATION AND GRANT DEED (Well 15/Parcel L, McCormack Road, Liberty Island Road)

APPLICANT/PARCEL OWNER: attach a copy of title or purchase contract.

SHORT PLAT Information

Certificates and Statements

Planning Department st St SE PO Box 5006 Minot, ND (701) Acknowledgment and Signature

RULES, REGULATIONS AND REQUIREMENTS RELATING TO THE APPROVAL AND ACCEPTANCE OF IMPROVEMENTS IN SUBDIVISIONS OR RE-SUBDIVISIONS

VACATING PLATS. The following documents are provided as required by the City of Conroe for use in the above titled platting submittals:

SAMPLE DECLARATION OF VACATION OF EASEMENT/RIGHT OF WAY. of record in the Office of the Judge of Probate of Morgan County, Alabama in Plat

In order to help you facilitate this verification process, the City offers two methods for you to choose from to make this verification.

65.00 Right-of-Way, Easements, Subordination Agreements and Licenses

BINDING SITE PLAN Checklist

Simple Land Division by Love and Affection - Application Checklist

Community Development Department Council Chambers, 7:30 PM, December 1, 2016

PART OF SECTION 9, TOWNSHIP 36 NORTH, RANGE 9 EAST OF THE THIRD PRINCIPAL MERIDIAN, NORTH OF THE INDIAN BOUNDRY LINE, IN WILL COUNTY, ILLINOIS.

BOUNDARY LINE ADJUSTMENT SUPPLEMENTAL (This form to be accompanied by the General Land Use Application)

SUBDIVISION APPLICATION

E. 140TH AVE. VICINITY MAP SCALE: 1"=600' LAND USE TABLE NET AREA 599,946 SQFT AC. GROSS AREA 741,420 SQFT AC.

STANDARD LANGUAGE FORMAT GUIDE PLANNING SERVICES DIVISION

CONTRACT SIGNATURES. Owners of record easements across your property need not sign if they are for road, flood control or public utility purposes.

BOUNDARY LINE ADJUSTMENT APPLICATION PACKET

Subdivision Plat Signature Block Templates

Subdivision Plat Signature Block Templates

Final Plat Mapping Requirements

SPECIAL SERVICE AREA DISCLOSURE

PLANNING COMMISSION SUBDIVISION PLAT APPLICATION

MINOR SUBDIVISION PLAT

TITLE 145: DEPARTMENT OF PUBLIC LANDS SUBCHAPTER AGRICULTURAL HOMESTEAD WAIVER PROGRAM RULES AND REGULATIONS

MINOR SUBDIVISION PLAT

6. LIST THE CAUSE DOCKETED NUMBER (E.G. ZONING CASE NUMBER, PLAT NUMBER...)

City of Edmonds TEMPORARY CONSTRUCTION EASEMENT

NO PROTEST AGREEMENT AND COVENANT RUNNING WITH THE LAND. Parcel #(s): R: T: S: Q: Q: Project Name:

IMPACT FEE DEFERRAL APPLICATION

PARTITIONING OF PROPERTY WITHIN TILLAMOOK COUNTY

THIS DECLARATION made this day of, 2016, by Cambridge and Wyndfall Community Association, Inc. ( Association ) and Lennar Carolinas, LLC ( Owner ).

Submittal Requirements: Subdivision Plat (Final)

COUNTY OF LOS ANGELES

Easements, Establishments, Abandonments and Vacations

PERMANENT DRAINAGE EASEMENT

AMENDMENT TO QUITCLAIM DEED AND GRANT OF EASEMENT RECITALS

SUBDIVISION APPLICATION: RECOMBINATION PLAT or EXEMPT PLAT

WESTON COUNTY FINAL PLAT APPLICATION

A RESOLUTION APPROVING PURCHASE OF LOT 9 PRAIRIE PARK FIRST ADDITION TO WAVERLY, IOWA RESOLUTION NO

VARIANCE APPLICATION SUBMITTAL CHECKLIST. Application #: Site Address:

EXHIBIT A CONDITIONAL USE PERMIT. The following form has been formatted to meet the recording standards of the Wake County Register of Deeds Office.

Resolution : A Resolution Recommending Approval Of Preliminary and Final Plats For Emma Krumbees Third Addition

APPLICATION FOR FINAL PLAT APPROVAL (Major Subdivision)

ARAPAHOE COUNTY WATER AND WASTEWATER AUTHORITY CONVEYANCE AND ACCEPTANCE OF UTILITY LINES AND FACILITIES (NAME OF DEVELOPMENT)

CITY OF MERCER ISLAND

City of Melissa, Texas Plat Dedication Language

Department of Planning & Zoning 200 E. Wood Street Palatine, IL Telephone: (847) Fax (847)

APPLICATION PROCEDURES FOR A PLAT AMENDMENT OR REVISION

TRANSFER OF DEVELOPMENT RIGHTS CONSERVATION EASEMENT

APPLICATION PROCEDURES FOR A MAJOR SUBDIVISION PRELIMINARY PLAT

SCHUYLKILL TOWNSHIP SUBDIVISION APPLICATION FORM REVISED June 30, Name of Applicant: Address: Telephone No.: Contact: Fax:

PETITION TO VACATE A STREET, ALLEY, OR EASEMENT APPLICATION

PRELIMINARY PLAT Checklist

TOWNSHIP OF LOWER MERION Department of Public Works

NOTICE TO COURT OF DECEDENT S MEDICAID STATUS

Please read instructions!!

TRANSFER OF DEVELOPMENT RIGHTS CONSERVATION EASEMENT

APPLICATION PACKET LAND SPLIT OR COMBINATION REVIEW

CITY OF INDIANAPOLIS GRANT OF PERPETUAL DRAINAGE EASEMENT AND RIGHT-OF-WAY

FOR OFFICE USE ONLY BOUNDARY LINE ADJUSTMENT APPLICATION

MINOR PLAT AMENDMENT APPLICATION CHECK APPLICABLE PERMIT ATTACHMENT:

AS SET FORTH ON EXHIBIT A ATTACHED HERETO AND INCORPORATED HEREIN.

MAJOR RESIDENTIAL AND NONRESIDENTIAL SUBDIVISIONS

CERTIFICATE OF COMPLETION

Exhibit A: REAL ESTATE TRANSFER AGREEMENT

ADDENDUM TO DECLARATION OF LAND USE RESTRICTIVE COVENANTS FOR LOW-INCOME HOUSING TAX CREDITS TENANT HOME OWNERSHIP CONVERSION PROGRAM ([OWNER])

HOLDING TANK AGREEMENT

BYRON TOWNSHIP 8085 BYRON CENTER AVENUE, SW BYRON CENTER, MI PHONE: FAX: STORMWATER APPLICATION AND PERMIT

PETITION APPLICATION PROCEDURE

FINAL PLAT GUIDE TO SUBDIVIDING PROPERTY. Background

FINAL PLAT. Community Development Department 8101 Ralston Road Arvada, Colorado 80002

PRIVATE FIRE LINE SERVICE AGREEMENT

DECLARATION OF DRAINAGE EASEMENTS. Document No. Document Title. (Declarant) Recording Data Return Address

SOUTH DAKOTA BOARD OF REGENTS. Budget and Finance ******************************************************************************

Boundary Line Adjustment / Lot Combination General Instructions and Submittal Forms

City of Desert Hot Springs Planning Department

PROCEDURE: CHANGE OF ACCESS ON RECORDED PLAT

15, CARDINAL GLENN, LOCATED IN THE NW 1/4 OF THE NE 1/4 OF SECTION 28, T 7 N, R 8 E, CITY OF MADISON, DANE COUNTY, WISCONSIN.

LAND COURT SYSTEM REGULAR SYSTEM Return by Mail ( ) Pickup ( ) To: DECLARATION OF RESTRICTIVE COVENANTS

Transcription:

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

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

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

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

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)

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