Know All Men By These Presents That (I/We) ______________________________
(Name of Individual Owner), County of Butler and State of Pennsylvania
for (myself/ourselves), (my, our) heirs, executors, administrators
and assigns, do hereby adopt this as (my/our) plan of lots of (my/our)
property, situate in the Township of Clinton, County of Butler and
State of Pennsylvania, and do hereby dedicate forever, for public
use for highway and utility purposes, all drives, roads, lanes, rights-of-way,
ways, and other public highways shown upon the plan, and (I/We) hereby
release and forever discharge the Township of Clinton, its successor
or assigns, from any liability, courses of action, claims or damages
arising from or pertaining to in any manner said roads and rights-of-way.
This dedication and release shall be binding upon the above named
property owner(s), (her/his/their) heirs, executors, administrators
and assigns and purchasers of lots in this plan.
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IN WITNESS WHEREOF, (I/We) hereunto set (my/our) hand(s) and
seals(s) this _____ day of ______________, _____.
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Owner
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Owner
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COMMONWEALTH OF PENNSYLVANIA
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:
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: ss.
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County of Butler
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:
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Before me, the subscriber, a Notary Public in and for said State
and County, personally came ______________________________ Name of
Owner(s) and acknowledged the foregoing release and dedication and
plan to be (her/his/their) act and deed and desired the same to be
recorded as such.
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WITNESS MY HAND AND NOTARIAL SEAL
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This _____ day of ______________, _____
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My commission expires the _____ day of ______________, _____
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Notary Public
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KNOW ALL MEN BY THESE PRESENTS:
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That the ______________________________ (Name of Corporation)
a corporation duly registered under the laws of the Commonwealth of
Pennsylvania, by virtue of a resolution of the Board of Directors,
thereof, does hereby adopt this plan as its Plan for its property
situate in Clinton Township, Butler County, Pennsylvania, and does
hereby dedicate forever, for public use for highway and utility purposes,
drives, roads, streets, rights-of-way, lanes and ways and other public
highways shown upon the plan, and we release and forever discharge
said Commonwealth of Pennsylvania, County of Butler and Township of
Clinton, their successors or assigns from any liability, courses of
action, claims or damages arising from or pertaining to in any manner
said roads and rights-of-way. This dedication and release shall be
binding upon ______________________________ (Name of Corporation),
its successors and assigns and purchasers of lots in this plan.
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IN WITNESS WHEREOF, the said corporation has caused its corporate
seal to be affixed by hand of its President and the same to be attested
by its secretary this _____ day of ______________, _____.
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President
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Secretary
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SEAL
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COMMONWEALTH OF PENNSYLVANIA:
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:
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: ss
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County of Butler
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:
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Before me, the subscriber, a Notary Public in and for said Commonwealth
and County personally appeared ______________________________ (Name
and Title of Officer) of the ___________________________________ (Name
of Corporation), who being duly sworn, deposeth and saith that he
was personally present at the execution of the adoption, release and
dedication and saw the common and corporate seal duly affixed and
that the above release and dedication was duly signed and sealed by
and as for the act and deed of the said ___________________________________
(Name of Corporation), for the uses and purposes therein mentioned
and that the name of this deponent subscribed to the said release
and dedication as ______________________________ (Title of Officer)
of said corporation, in attestation of the due execution and delivery
of said release and dedication is this deponent's own and proper and
respective handwriting.
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Signature, Title of Officer
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WITNESS MY HAND AND NOTARIAL SEAL this _____ day of ______________,
_____.
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My commission expires the _____ day of ______________, _____
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Notary Public
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I, (or We) ________________________________ (Name of Owner)
owners of the _________________________________ (Name of Plan), do
hereby certify that the title of this property is in the name of ______________________________
as recorded in Deed Book Volume __________ Page __________. Recorder
of Deeds Office. I (or We) further certify that there is no mortgage,
lien or encumbrance against this property.
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Witness
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Owner
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(If the property embraced in this plan is encumbered by a mortgage,
judgment of record, or otherwise, the following certificates shall
appear:)
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I, (or We) ______________________________ owners of the ______________________________
(Name of Plan) do hereby certify that the title of this property is
in the name of ______________________________, as recorded in Deed
Book Volume __________ page __________, Recorder of Deeds Office.
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Witness
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Owner
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I, (or We) ______________________________ (Name of Mortgagee)
mortgagee of the property embraced in this plan, ______________________________
Name of Plan, do hereby consent to the recording of said plan in the
Recorder of Deeds Office of Butler County, Pennsylvania, and to the
dedications and covenants appearing hereon.
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Witness
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Mortgagee
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I ______________________________, a Registered Professional
Surveyor of the Commonwealth of Pennsylvania, do hereby certify that
the plan as shown hereon is based upon actual field survey of the
land described and that all angles, distances and courses are correctly
shown, that the monuments and markers have been set as shown on the
plan, and that this plan correctly represents the lots, lands, streets
and highways as surveyed and plotted by me for the owners or agents.
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SEAL
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Signature of Surveyor
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Registration Number
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The Board of Supervisors of the Township of Clinton hereby gives
public notice that in approving this plan for recording purposes only,
the Township assumes no obligations, legal or otherwise, expressed
or implied, either to accept said streets as Township streets or roads
or grade, pave and curb the streets in said plan, or to construct
sewers therein or to install any other such service ordinarily installed
in Township streets or roads.
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(SEAL)
Secretary
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Chairman of the Board
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Reviewed by the Clinton Township Planning Commission this _____
day of ______________, _____.
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(SEAL)
Secretary
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Chairman of the Board
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Approved by the Clinton Township Board of Supervisors this _____
day of ______________, _____.
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(SEAL)
Secretary
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Chairman of the Board
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Reviewed by the Butler County Planning Commission this _____
day of ______________, _____.
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(SEAL)
Secretary
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Chairman of the Board
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COMMONWEALTH OF PENNSYLVANIA:
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:
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: ss
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County of Butler
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:
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Recorded in the Recorder Office for the recording of deeds,
plans, etc., in said County in Plan Book Volume __________ page __________.
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Given under my hand and seal this _____ day of ______________,
_____.
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SEAL
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Recorder
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