CLUSTER-35 PLAN
MILLER'S CLUSTER 35 PLAN A part of the SW/4 of Sec. 9, Township 6 South, Range 67 West of the 6th P.M., Douglas County CO 640 Acres — 18 residential parcels File # |
The undersigned, being all the owners of the land described herein, and the beneficiaries of any deeds of trust encumbering that land, hereby consent to this Cluster-35 Plan. | |
OWNER(S) | |
_____(signature)_____ | If corporation: _____(Name)_____ |
(print landowner's name) | By: |
Title: | |
_____(signature)_____ | |
(print landowner's name) | |
ATTEST: | |
Acknowledged before me this __________ day of ________________, 20_____, by _____*(print name)_____. | |
WITNESS my hand and official seal. | |
Notary Public My commission expires: | |
*Signatures of officers signing for a corporation shall be acknowledged as follows: | |
_____(Name)_____ as _____(Title)______ of _____(Corp.)_____, a _____(State)______ Corporation. | |
BENEFICIARY OF DEED OF TRUST | |
_____(Name of company)_____ | |
BY: _____(Print name)_____ | _____(Signature)_____ |
TITLE: | |
ATTEST: | |
Acknowledged before me this __________ day of _______________, 20_____, by _____(Name)_____ as _____(Title)_____ of _____(Beneficiary)_____, a _____(State)______ _____(Entity)_____. | |
WITNESS my hand and official seal. | |
Notary Public | |
My commission expires: | |
Ownership Certification | |
I/we __________, a (one of the following: qualified title insurance company, or attorney at law), duly qualified, insured or licensed by the state of Colorado, do hereby certify that I/we have examined the title of all lands depicted and described hereon and that title to such land is owned in fee simple by __________ at the time of this application. | |
_____(Notarized Signature)_______________ Name of Authorized Official | (date) |
_____(Signature)_____ (Registration No.)_____ Name of Attorney | (date) |
I, (Surveyor's Name), a duly registered Professional Land Surveyor in the state of Colorado, do hereby certify that this plan truly and correctly represents the results of a survey made on (date of survey), by me or under my direct supervision and that all monuments exist as shown hereon; that mathematical closure errors are less than 1:50,000 (second order); and that said survey has been prepared in full compliance with all applicable laws of the state of Colorado dealing with monuments or surveying of land. |
I attest the above on this __________ day of _______________, 20_____. |
___(signature)___ |
(Surveyor's Name) |
Colorado registered Professional Land Surveyor # |
Surveyor's seal shall appear with this certificate. |
APPROVAL CERTIFICATE | |
THIS CLUSTER-35 PLAN IS COMPLETE AND IN ACCORDANCE WITH DOUGLAS COUNTY REGULATIONS. | |
Engineering Division | Date |
Planning Division | Date |
Building permits may be issued pursuant to this plan, as noted hereon, and subsequent exemption. A grading permit is required prior to road/driveway construction. | |