There shall be nine copies of the petition, each accompanied by a site plan, filed along with the original, which shall be verified by the petitioner, together with 10 copies of a diagram, drawn to scale, prepared by a registered professional engineer or a registered land surveyor, showing by courses and distances the property which is the subject of the application and all of the properties within 200 feet of the perimeter line of said property, and showing, to scale, all structures within the area indicating the use, and showing the current zoning of all areas depicted and showing the distance and direction from the nearest intersecting street. All such diagrams shall contain the following certification:
| I do hereby certify that the area map accurately described the uses of the property surrounding the subject premises as of |
| | (date) |
| | |
| | Signature |