EXHIBIT A1
OWNER'S CERTIFICATE
STATE OF ILLINOIS )
| SS |
KNOW ALL MEN BY THESE PRESENTS, That I, the undersigned, hereby
certify that I am the owner of all the premises embodied in the
attached Plat of the ____________________________________________
Subdivision to the Town of Normal, McLean County, Illinois, and
that I have caused said Plat to be made and that it is a true and
correct plat of "The ________________________ Subdivision to the
Town of Normal", McLean County, Illinois, is laid off in lots and
streets by ______________________ Registered Illinois Land Surveyor
Number _________ and I, the undersigned, hereby dedicate and set
apart for the use of the general public forever all of the streets
and highways as indicated and shown on said Plat; and I further
dedicate the easements therein set forth to the Town of Normal for
general utility purposes.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ______
day of _______________, 20__.
___________________________________(SEAL)
EXHIBIT A1
Page 2
NOTARY'S CERTIFICATE
STATE OF ILLINOIS )
| SS |
I, the undersigned, a Notary Public in and for the County and State aforesaid,
do hereby certify that __________________________, an individual,
personally known to me to be the same person whose name is subscribed
to the foregoing instrument, appeared before me this day in person
and acknowledged that he signed, sealed and delivered the said instrument
as his free and voluntary act for the uses and purposes therein
set forth, including the release and waiver of Homestead, and also
including the dedication of all streets and highways to the use
of the general public forever, and including the grant of certain
utility easements to McLean County, Illinois.
Given under my hand and notarial seal this _____ day of _______________________.
____________________________
Notary Public
(S E A L)