Real Estate Land Plan

REAL ESTATE LAND PLAN

Project Name:     Plan No.:     Plan Date:

Property Identification

Total Area (acres):     Zoning Classification:     Tax Parcel ID:

Owner / Applicant

Phone:     Email:

Licensed Surveyor / Engineer

Licensed Surveyor Name:     License No.:

Phone:     Email:

Survey Data and Notes

Contour Interval (ft):     Benchmark Description:

Existing Conditions

Adjoining Owners:

Proposed Improvements

Estimated Construction Start:     Estimated Completion:

Easements, Encumbrances and Restrictions

Utility Easement Present: Yes No     Recorded Map Available: Yes No

Environmental and Regulatory Disclosures

Floodplain Designation: Yes No     Wetlands or Protected Habitat: Yes No

Historic District / Landmark: Yes No

Utilities and Services

Water:     Sewer:

Electricity:     Gas:

Plan Attachments and Map Data

Map Scale:     North Arrow Located: Yes No

Certifications and Declarations

Surveyor Certification:

I, the undersigned licensed surveyor, hereby certify that this Land Plan represents a survey made under my supervision, that all distances and bearings are correctly shown to the best of my knowledge, that monuments shown hereon have been set or found as noted, and that the work complies with applicable standards for plats and boundary surveys. This plan is prepared without personal knowledge of undisclosed interests and does not assert ownership rights other than those of the record owner. This certification is based upon field work performed on the date(s) shown and recorded instruments referenced on this plan.

Owner's Certification and Dedication:

The undersigned Owner certifies that the foregoing information is true and correct to the best of Owner's knowledge; that Owner is the record owner of the property described herein; and that Owner hereby consents to the preparation and recordation of this Land Plan, and dedicates to public use those areas, easements and rights-of-way as shown and described on this plan to the extent required herein.

General Provisions

This Land Plan, together with the certifications contained herein, constitutes the complete representation of the surveyed boundaries and improvements as of the date of field work and plan preparation. Any changes to conditions shown or to the boundary monuments subsequent to said field work are not reflected on this plan. The Surveyor expressly disclaims responsibility for conditions not visible at the time of the survey. Nothing in this plan shall be construed as a waiver of covenants, restrictions, or recorded rights affecting the property.

Governing Law: This Land Plan and the certifications herein shall be governed by the laws of the state or jurisdiction in which the subject property is located.

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