Certificate of Dedication and Ownership

Know all men by these presents that __________________________________, being the owner, mortgagee, or lienholder of certain lands in Greenwood Village, Colorado, described as follows: _______________________________________________________; containing __________ acres more or less, has by these presents laid out, platted and subdivided the same into lots and blocks, as shown on this plat, under the name and style of _______________________________ and do hereby dedicate to the public the streets, easements and open space for the purposes shown herein.

Executed this _____ day of _______________, 20____.

_____________________________________ _____________________________________
Owner Mortgagee or lienholder

STATE OF COLORADO  )
) ss.
  COUNTY OF ARAPAHOE  )

The foregoing certificate of dedication and ownership was acknowledged before this _________ day of ______________, 20_____, by _________________________________.

_______________________________________
Notary Public

My commission expires: ____________________.

Certificate of Owner's Attorney

I, _________________________________ an attorney licensed to practice law in the State of Colorado, certify that I have examined the final plat and, in my opinion, said plat is in compliance with the applicable land use regulations of the City of Greenwood Village.

____________________________________________
Owner's Attorney

Certificate of City Attorney

I, __________________________________ City Attorney of Greenwood Village, Colorado, hereby certify that I have examined the within plat and, in my opinion, said plat complies with the applicable land use regulations of the City of Greenwood Village.

____________________________________________
City Attorney

Surveyor's Certificate

I, _____________________________, a Registered Professional Land Surveyor in the State of Colorado, hereby certify that the survey represented by this plat was made under my supervision and the monuments shown thereon actually exist and this plat accurately represents said survey.

______________ ______________________________ _________________
Date    Surveyor        Seal

City Council Certificate

Approved by the City Council of the City of Greenwood Village.

Witness my hand and the corporate seal of the City of Greenwood Village this ______ day of ____________________, 20_____.

___________________________
Attest: Mayor

________________________________
City Clerk

Clerk and Recorder's Certificate

This plat was filed for record in the office of the Clerk and Recorder of Arapahoe County at _________________ ____ .m. on the _______ day of _____________________, 20____, in Book _____________, Page ___________, Map _________________, Reception _______________.

County Clerk and Recorder

By _______________________________________