LAND SURVEYOR’S CERTIFICATE AND DESCRPITION

I, the undersigned, licensed land surveyor of the State of Kansas, do hereby certify that the following described tract of land was surveyed on, 20 and the accompanying final plat prepared and that all the monuments shown therein actually exist and their positions are correctly shown to the best of my knowledge and belief:

       (Legal description, date of survey and acreage.  If applicable, reference may be made to indicate that existing public easements and dedications are being vacated according to provisions of K.S.A. 12-512b. [See Section 10-101A1 for provisions of K.S.A. 12-512b.])

Date _________, 20__.

 (S E A L)

_____________________________________

(Land Surveyor’s name and license number)

 

 

OWNER’S CERTIFICATE AND DEDICATION

STATE OF KANSAS                    )

                                                     ) ss

COUNTY OF SEDGWICK            )

This is to certify that the undersigned owner(s) of the land described in the Land Surveyor’s Certificate; have caused the same to be surveyed and subdivided on the accompanying plat into lots, blocks, streets and other public ways under the name of ; (an addition to) (located in) the City of Maize, Sedgwick County, Kansas; that all highways, streets, alleys easements and public sites as denoted on the plat are hereby dedicated to and for the use of the public for the purpose of construction, operating, maintaining and repairing public improvements; and further that the land contained herein is held and shall be conveyed subject to any applicable restrictions, reservations and covenants now on file or hereafter filed in the Office of the Register of Deeds of Sedgwick County, Kansas.

Date Signed: ________                                          Date Signed:  _________

 

_________________, Owner                                  _______________, Owner

(print name)                                                           (print name)

 

 

MORTGAGE HOLDER

We, (Name of institution and location), by (Name and title of officer), holders of a mortgage on the above described property do hereby consent to the plat of (Name of plat), City of Maize, Sedgwick County, Kansas.

(Name of institution and location)

_____________________________________

(Name and title)

 

 

NOTARY CERTIFICATE

STATE OF KANSAS                    )

                                                     ) ss

COUNTY OF SEDGWICK            )

The foregoing instrument was acknowledged before me this __ day of ________, 20__, by (name of persons).

(S E A L)

___________________________, Notary Public

Printed Name: ___________________________

My appointment expires: _____

 

 

PLANNING COMMISSION CERTIFICATE

STATE OF KANSAS                    )

                                                     ) ss

COUNTY OF SEDGWICK            )

This plat was approved by the Maize City Planning Commission on __________, 20__.

Signed ______, 20__.

___________________________, Chairperson

Printed Name: ___________________________

ATTEST:

___________________________, Secretary

Printed Name: ___________________________

 

 

CITY ATTORNEY’S CERTIFICATE

STATE OF KANSAS                    )

                                                     ) ss

COUNTY OF SEDGWICK            )

This plat is approved pursuant to the provisions of K.S.A. 12-401.

Date Signed: ___________, 20__.

___________________________, City Attorney

Printed Name: ___________________________

 

 

GOVERNING BODY CERTIFICATE

STATE OF KANSAS                    )

                                                     ) ss

COUNTY OF SEDGWICK            )

The dedications shown on this plat, if any, are hereby accepted by the Governing Body of the City of Maize, Kansas on __________, 20__.

(S E A L)

___________________________, Mayor

Printed Name: ___________________________

ATTEST:

___________________________, City Clerk

Printed Name: ___________________________

 

 

TRANSFER RECORD

Entered on transfer record this  __ day of _____________, 20__.

___________________________, County Clerk

Printed Name: ___________________________

 

 

REGISTER OF DEEDS CERTIFICATE

STATE OF KANSAS                    )

                                                     ) ss

COUNTY OF SEDGWICK            )

This is to certify that this instrument was filed for record in the Register of Deeds Office at __:__ (a.m.) (p.m.) on the __ day of ________, 20__ and is duly recorded.

 

(S E A L)

___________________________, Register of Deeds

Printed Name: ___________________________

___________________________, Deputy

Printed Name: ___________________________