The following applicable certificates shall be inscribed permanently on the reproducible, exactly as stated, and shall be properly signed with permanent ink:
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.
IN WITNESS WHEREOF, (I/We) hereunto set (my/our) hand(s) and seals(s) this _____ day of ______________, _____.
Owner
Owner
COMMONWEALTH OF PENNSYLVANIA
:
: ss.
County of Butler
:
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.
WITNESS MY HAND AND NOTARIAL SEAL
This _____ day of ______________, _____
My commission expires the _____ day of ______________, _____
Notary Public
KNOW ALL MEN BY THESE PRESENTS:
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.
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 ______________, _____.
President
Secretary
SEAL
COMMONWEALTH OF PENNSYLVANIA:
:
: ss
County of Butler
:
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.
Signature, Title of Officer
WITNESS MY HAND AND NOTARIAL SEAL this _____ day of ______________, _____.
My commission expires the _____ day of ______________, _____
Notary Public
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.
Witness
Owner
(If the property embraced in this plan is encumbered by a mortgage, judgment of record, or otherwise, the following certificates shall appear:)
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.
Witness
Owner
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.
Witness
Mortgagee
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.
SEAL
Signature of Surveyor
Registration Number
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.
(SEAL)
Secretary
Chairman of the Board
Reviewed by the Clinton Township Planning Commission this _____ day of ______________, _____.
(SEAL)
Secretary
Chairman of the Board
Approved by the Clinton Township Board of Supervisors this _____ day of ______________, _____.
(SEAL)
Secretary
Chairman of the Board
Reviewed by the Butler County Planning Commission this _____ day of ______________, _____.
(SEAL)
Secretary
Chairman of the Board
COMMONWEALTH OF PENNSYLVANIA:
:
: ss
County of Butler
:
Recorded in the Recorder Office for the recording of deeds, plans, etc., in said County in Plan Book Volume __________ page __________.
Given under my hand and seal this _____ day of ______________, _____.
SEAL
Recorder