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CC - Revised Final PlatN 74°2 5 ' 0 3 " W 1 9 8 . 5 4 ' ( N 7 4 ° 2 4 ' 1 3 " W 1 9 8 . 4 8 ' )15.0' WIDE INGRESS/EGRESS EASEMENTINST.: 7907119S1121336276SHARP JOHN W.PARCEL 1PARCEL 1 P.O.B.PARCEL 2 P.O.B.PARCEL 2PARCEL 3PARCEL 4PARCEL 3 P.O.B.LOT 1, BLOCK 1INGLEWOOD PLACE SUBDIVISION NO. 1(PROPOSED)S S SDSDSD SD SD SD S WMXXICVWM WM TR SD TRMB E EB S TRSSMHRIM=2687.61'I.E.(N/E/S)=2674.51'SSMHRIM=2683.86'I.E.(N/W)=2677.36'SSMHRIM=2680.74'I.E.(S/E)=2678.14'ssssssdsdsdsdsdsdsdsdsdsdsdsdssssssssssd sd sd sd sd sds sssssssssssCO FOUND BOUNDARYLINE STAKE7' SIDEWALK 7' SIDEWALKppppppppcccccccccggggggggg SSMHRIM=2693.13'I.E.(N/E/S/W)=2681.43'FOUND BOUNDARYLINE STAKEpEDGE OF ASPHALTASPHALTASPHALTEDGE OF ASPHALT7' SIDEWALK7' SIDEWALK1.0'15.0'4.8'3.9'0.5'2693 269 2 2691269 0 2 6 8 9 2 6 8 8 2687268 6 2689 2688 26 8 7 26 8 62686 268 5 2685 2684 2 6 8 4 2 6 8 3 26 8 3 2682269026 8 5 26852690269526902695PURPLEWOOD POLEPURPLEWOOD POLE4" WHITEPVC4" WHITEPVCWOOD POLEGREENWOOD POLEBLUEPIPE GAS2" PIPEORANGEPIPE GASPIPE GASFOUND LATH20 S CASTING2685.76'SS LAT MARKERMETAL GRATEGRATE=2690.75'I.E.(24" SE/W)=2683.00'METALLIDSIGNSIGNGREENMETAL LIDSIGNw w w w w w w w wwwwwwwwwwwwww wSDMHRIM=2690.44'I.E.=2685.34'SDMHRIM=2692.08'I.E.(12"N)=2688.08'BTM=2685.08'SDMHRIM=2692.14'I.E.(12" W)=2687.54'SDCBRGRATE=2691.21'(COVERED)SDMHRIM=2682.64'I.E.(24" N/S)=2678.04'SDMHRIM=2682.63'I.E.=2677.93'SDCBRGRATE=2682.15'(COVERED SNOW & ICE)SDCBRRIM=2690.22'(COVERED)SDCBRRIM=2689.92'(COVERED)SDMHRIM=2690.31'BTM=2685.81'SDMHRIM=2695.46'I.E.(24" N)=2685.46'E. VICTORY RD. (96.0' WIDE PAVED PUBLIC ROAD)S. EAGLE RD.(96.0' WIDE PAVED PUBLIC ROAD)SHEDHOUSE WIRE FENCE30.0' PUBLIC UTILITYAND PRIVATEACCESS EASEMENTMC D O N A L D L A T E R A L12.50'28.50'12.50'28.50'LESS &EXCEPTINGPARCEL 1SOUTHWEST CORNER OF SECTION 21,TOWNSHIP 3 NORTH, RANGE 1 EAST,BOISE MERIDIAN. (FOUND ROUND TOPBRASS SET IN 2010, PER CPF&R ENT.111000681BENCHMARK ELEV. 2695.47' (NAVD88)FOUND REBAR AND CAPIN ASPHALT, PER ROS 10764CONCRETE BOXRIM=2689.89'I.E.(24" SE/NW)=2683.62'CURB &GUTTERCURB &GUTTERCURB &GUTTERCURB &GUTTERDRIVE CUTDRIVE CUTWALK CUTDRIVE CUTWATER WAYDRIVE CUTSUBDIVISIONPOINT OF BEGINNING2X4 VERTICALBLUEADA COUNTY SLOPE/ CUTEASEMENT INST. 106028980CITY OF MERIDIAN SEWEREASEMENT INST. 111038938ADA COUNTY SLOPE/ CUTEASEMENT INST. 106028980ADA COUNTY SLOPE/ CUTEASEMENT INST. 106028980LOT: 31.143 ACRES49811 SQFTLOT: 20.959 ACRES41757 SQFTLOT: 10.774 ACRES33726 SQFT2X4 VERTICALGREEN30.0' PERMANENTINGRESS/ EGRESSEASEMENT30.00'30.00'N 89°36'01" W 227.70' L 1 S 0°02'50" E 512.47'N 0°00'26" W 495.22'S 89°36'02" E 244.61'48.00' 191.18' (S89°35'33"E)N 0°00'38" E 201.85' (NORTH)253.85' (253.86')150.00' (NORTH)58.82' (N89°35'33"W)51.85' (N0°01'07"E)S 89°36'02" E 800.18' (S89°35'33"E) 49.84' 48.00'48.00'48.00'48.00' BASIS OF BEARING: S 89°36'01" E 2657.24'N 0°00'25" W 1350.08'N 89°36'02" W 58.82' (S89°35'33"E)S 0°00'38" W 150.00' (SOUTH)N 74°24'42" W7.01' (7.08')N 89°36'02" W 85.00' (S89°35'33"E)S 0°00'29" E 101.50' (NORTH)N 89°36'02" W 517.10' (S89°35'33"E)48.00'48.00'48.00'BLOCK 115.00'15.00'15.00'15.00'10.0' P.U.E. 10.0' P.U.E. 10.0' P.U.E. 10.0' P.U.E.10.0' P.U.E.10.0' P.U.E.N 6 1 ° 1 5 ' 2 8 " W 2 6 8 . 3 8 'N 72°37'41" W10.09'ADA COUNTY SLOPE/ CUTEASEMENT INST. 10602898053.61'203.58'7.44'174.69'159.28'N 89°36'01" W 191.83'308.89'53.00'132.36'N 89°36'01" W 244.76'203.58'203.57'244.61' 13.00'13.00' 13.00'N 0°02'50" W 176.53'13.00' N 89°57'10" E 44.00'S 0°02'50" E 246.23'200.76'S. FALCONERS LN.(PRIVATE)E. ALTA HILLS LN. (PRIVATE)26.0' PUBLIC UTILITYAND PRIVATEACCESS EASEMENTE. SHERGAR LN. (PRIVATE)SOUTH QUARTER CORNER OF SECTION 21,TOWNSHIP 3 NORTH, RANGE 1 EAST,BOISE MERIDIAN. (PER CPF&R ENT. 97003907)SOUTH 1/16TH CORNER COMMONTO SECTION 20 & 21 TOWNSHIP 3NORTH, RANGE 1 EAST, BOISE MERIDIAN.(PER CPF&R ENT. 111071045)PREPARED BY:SCALE: 1" =NORTH40'020'40'80'120'LEGENDEXISTING RIGHT OF WAY LINESUBDIVISION BOUNDARYEXISTING CENTERLINEEASEMENT LINESECTION LINEREVISIONSREVDATEDESCRIPTIONPROJECT NO:CAD FILE:DRAWN BY:CHECKED BY:CALC BY:FIELD CREW:DATE:2107021070 PLDKWDKWJDS/ZMHMDH4/06/21OFSHEETINGLEWOOD SUBDIVISION NO. 2A COMMERCIAL SUBDIVISIONLOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION 21TOWNSHIP 3 NORTH, RANGE 1 EAST, BOISE MERIDIAN,CITY OF MERIDIAN, ADA COUNTY, IDAHOAPRIL 2021PROPOSED EASEMENTNEW LOTS LINESPROPOSED CENTERLINEFOUND SECTION CORNER AS NOTED HEREONSET 5/8" X 24" REBAR AND YELLOW NYLON CAP STAMPED "LS 13889"FOUND PROPERTY MARKER AS NOTED HEREONSUBDIVISION CORNER NOT SETOWNERS/ DEVELOPER INFO:GOLD STREAM PARTNERSJAMES PETERSON197 WEST 4860 SOUTHMURRAY, UTAHPH.: (801) 809-9663SUBDIVISION TABULATIONS125,296 SQ. FT., OR 2.876 ACRES(4)31,319.64 OR 0.719 AC.N/ASUBDIVISION AREA:NUMBER OF LOTS:AVERAGE LOT AREA:DEDICATION AREA:04/06/21PRELIMINARY PLAT FOR CITY REVIEW12 1.THIS SURVEY PLAT DOESNOT CONSTITUTE A TITLE SEARCH BY THE SURVEYOR. ALL INFORMATIONREGARDING RECORD EASEMENTS, ADJOINERS AND OTHER DOCUMENTS THAT MIGHT AFFECT THEQUALITY OF TITLE TO TRACT SHOWN HEREON WAS GAINED FROM TITLE COMMITMENT NO: 392529PREPARED BY ALLIANCE TITLE & ESCROW CORP., WITH AN EFFECTIVE DATE: APRIL 12, 2018 , AT 7:30 AM.2.CORNER MONUMENTS NOT FOUND WERE MONUMENTED WITH A 5/8" REBAR AND YELLOW NYLON CAPSTAMPED "L.S. 13889", UNLESS OTHERWISE NOTED HEREON.3.THIS MAP MAKES NO ASSUMPTIONS AS TO ANY UNWRITTEN RIGHTS THAT MAY EXIST BY AND BETWEENTHE ADJOINING LANDOWNERS.4.COURSES AND DISTANCES SHOWN ON THIS MAP ARE MEASURED DIMENSIONS UNLESS SHOWN WITHINPARENTHESIS, INDICATING A RECORD COURSE OR DISTANCE. RECORD INFORMATION IS TAKEN FROMCITED TITLE COMMITMENT, DEEDS OF RECORD, SUBDIVISION PLATS, ROADWAY DEDICATION PLATS,FILED SURVEYS OR OTHER SOURCES OF RECORD INFORMATION.5.ANY RESUBDIVISION OF THIS PLAT SHALL COMPLY WITH THE APPLICABLE REGULATIONS IN EFFECT ATTHE TIME OF RESBDIVISION.6.MINIMUM BUILDING SETBACKS SHALL BE IN ACCORDANCE WITH THE CITY OF MERIDIAN APPLICABLEZONING AN SUBDIVISION REGULATIONS AT THE TIME OF ISSUANCE OF AN INDIVIDUAL BUILDINGPERMITS OR A SPECIFICALLY APPROVED AND/OR REQUIRED, OR AS SHOWN ON THIS PLAT.7.IRRIGATION WATER HAS BEEN PROVIDED BY THE BOISE PROJECT BOARD OF CONTROL IN COMPLIANCEWITH IDAHO CODE 31-3805(1)(b). LOTS WITHIN THIS SUBDIVISION WILL BE ENTITLED TO IRRIGATIONWATER RIGHTS AND WILL BE OBLIGATED FOR ASSESSMENT FROM THE BOISE PROJECT BOARD OFCONTROL.8.THIS SUBDIVISION IS SUBJECT TO A 10.00' PUBLIC UTILITY EASEMENT (P.U.E.) ALONG THE SUBDIVISIONBOUNDARY, FOR PUBLIC UTILITIES, DRAINAGE, AND IRRIGATION EASEMENT.9.LOTS 1, 2, & 4 ARE SUBJECT TO A 41.00' FOOT RIGHT OF WAY FOR THE MCDONALD LATERAL, AS SHOWNHEREON.10.LOTS 2, 3, & 4 ARE SUBJECT TO A 30.00 FOOT WIDE INGRESS/ EGRESS AND PUBLIC UTILITY EASEMENT,FOR PASSAGE OF PEDESTRIAN AND VEHICULAR TRAFFIC, SANITARY SEWER, WATER, IRRIGATION,STORM-DRAIN, AND OTHER PUBLIC UTILITIES/ FACILITIES.11.ACCESS TO VICTORY ROAD IS PROHIBITED UNLESS APPROVED BY ADA COUNTY HIGHWAY DISTRICT.12.LOTS SHALL NOT BE REDUCED IN IN SIZE WITHOUT PRIOR APPROVAL FROM THE HEALTH AUTHORITY.13.THIS PLAT IS SUBJECT TO THE FOLLOWING EASEMENTS OF RECORD:-ADA COUNTY SLOPE/CUT EASEMENT, INST. NO.: 106028980-CITY OF MERIDIAN SEWER EASMENT, INST. NO.: 111038938-15.0' INGRESS/ EGRESS EASEMENT INST. NO.: 7907119SURVEYOR'S CERTIFICATENOTESTHE PURPOSE OF THIS PLAT IS TO SUBDIVIDE THE SUBJECT PARCEL INTO ONE (1) BLOCK AND FOUR (4)COMMERCIAL LOTS.THE BASIS OF BEARING FOR THIS SURVEY IS SOUTH 89°36'01" EAST, ALONG THE SOUTH LINE OF THESOUTHWEST QUARTER, BETWEEN THE FOUND SOUTHWEST CORNER AND THE SOUTH QUARTER CORNER OFSECTION 21, TOWNSHIP 3 NORTH, RANGE 1 EAST BOISE MERIDIAN, AS SHOWN HEREON.THE BOUNDS OF THIS SURVEY ARE BASED, IN PART, FROM THE ORIGINAL DESCRIPTIONS PROVIDED IN THETITLE REPORT, LESS THOSE PORTIONS CONTAINED WITHIN THE BOUNDS OF THE PROPOSED PLAT OFINGLEWOOD PLACE SUBDIVISION NO.1, (UNRECORDED AT THE TIME OF THIS SUBDIVISION) PREPARED BY T-OENGINEERS, AND CERTIFIED BY ROB O'MALLEY.SURVEY NARRATIVEBOUNDARY DESCRIPTIONA PARCEL OF LAND SITUATE WITHIN THE SOUTHWEST QUARTER OF SECTION 21,TOWNSHIP 3 NORTH, RANGE 1 EAST, BOISE MERIDIAN, CITY OF MERIDIAN, COUNTY OFADA, STATE OF IDAHO, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:BEGINNING AT A POINT IN THE NORTH LINE OF VICTORY ROAD, PER WARRANTY DEEDRECORDED FEBRUARY 24, 2006 AS INSTRUMENT NO. 106028979, ADA COUNTY IDAHO,SAID POINT OF BEGINNING BEING SOUTH 89°36'01" EAST, ALONG THE SECTION LINE, ADISTANCE OF 293.01 FEET, AND NORTH 0°00'25" WEST, A DISTANCE OF 48.00 FEET,FROM THE BRASS CAP MONUMENT MARKING THE SECTION CORNER COMMON TOSECTION 20, 21, 28, & 29, PER CPF&R, INST.: 11100681; AND RUNNING THENCE NORTH89°36'01" WEST, ALONG SAID NORTH LINE OF VICTORY ROAD, A DISTANCE OF 227.70FEET; THENCE NORTH 44°50'55" WEST, A DISTANCE OF 24.50 FEET, TO THE EAST LINEOF EAGLE ROAD, PER WARRANTY DEED RECORDED FEBRUARY 24, 2006 ASINSTRUMENT NO. 106028979; THENCE NORTH 0°00'26" WEST, ALONG SAID EAST LINE OFEAGLE ROAD, A DISTANCE OF 495.22 FEET, TO THE NORTH LINE OF PARCEL IV,DESCRIBED IN WARRANTY DEED RECORDED AS INSTRUMENT NO. 2016-120343; THENCESOUTH 89°36'02" EAST, A DISTANCE OF 244.61 FEET, TO THE WEST LINE OF INGLEWOODPLACE SUBDIVISION NO.1; THENCE SOUTH 0°02'50" EAST, ALONG SAID WEST LINE, ADISTANCE OF 512.47 FEET, TO THE POINT OF BEGINNING.CONTAINS: 125,295 SQ. FT., OR 2.876 ACRES.PREPARED BY:INGLEWOOD SUBDIVISION NO. 2A COMMERCIAL SUBDIVISIONLOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION 21TOWNSHIP 3 NORTH, RANGE 1 EAST, BOISE MERIDIAN,CITY OF MERIDIAN, ADA COUNTY, IDAHOAPRIL 202122OFSHEETI, MICHAEL D. HOFFMAN, A PROFESSIONAL LAND SURVEY OF THE STATE OF IDAHO, DOHEREBY CERTIFY THAT A SURVEY WAS MADE UNDER MY DIRECTION OF THE LANDDESCRIBED IN THE BOUNDARY DESCRIPTION AND THAT THE PLAT UPON WHICH THISCERTIFICATION APPEARS WAS MADE UNDER MY DIRECTION. I FURTHER CERTIFY THATTHE ACCOMPANYING MAP CORRECTLY DEPICTS THE DIVISION OF THE LAND ASMARKED UPON THE GROUND, THAT THE MONUMENTS SHOWN CONFORMS WITH THATSET OR FOUND UPON THE GROUND, AND THAT THE PERTINENT PROVISIONS OF THESTATE STATUES OF THE STATE OF IDAHO TOGETHER WITH ALL LOCAL ORDINANCESPERTAINING THERETO HAVE BEEN COMPLIED WITH.__________________________________________________ ____________________MICHAEL D. HOFFMAN, P.L.S.DATEIDAHO LICENSE NO.: 13889OWNERS CERTIFICATEKNOWN ALL MEN BY THESE PRESENT, THAT WE THE UNDERSIGNED OWNER(S) OF THETRACT OF LAND DESCRIBED IN THE BOUNDARY DESCRIPTION HAVE CAUSED THE SAMETO BE SUBDIVIDED INTO BLOCKS AND LOTS AND TO BE HEREAFTER KNOWN AS:INGLEWOOD SUBDIVISION NO. 2A SUBDIVISION OF ADA COUNTYIT IS THE INTENTION OF THE OWNERS TO INCLUDE ALL THE DESCRIBED PREMISES INSAID PLAT AND THAT SAID PREMISES ARE TO BE DIVIDED INTO A BLOCK AND LOTS ASSHOWN AND THAT THE LOCATION AND DIMENSIONS OF SAID BLOCK AND LOTS ARE ASSHOWN ON SAID PLAT. THE STREET AND EASEMENTS DEPICTED ON THIS PLAT, AREHEREBY DEDICATED TO THE PUBLIC FOR PUBLIC USE UNLESS OTHERWISE INDICATED;AND RIGHT TO USE THE DEPICTED EASEMENT ALONG THE STREETS IS RESERVED FORTHE PUBLIC FOR SUCH FACILITIES FOR UTILITIES, AND FOR OTHER PUBLIC PURPOSES,INCLUDING BUT NOT LIMITED TO POSTAL DELIVERY BOXES. NO STRUCTURES, OTHERTHAN THOSE REQUIRED FOR SUCH PUBLIC UTILITIES PURPOSES, ARE TO BE ERECTEDOR PLACED WITHIN SAID EASEMENT. ALL SUCH AREAS ARE HEREBY CONVEYED ORRESERVED TO THE PUBLIC IN PERPETUITY. THE PUBLIC MAY HAVE ACCESS TO SUCHAREAS, SUBJECT TO MUNICIPAL REGULATION. RESPONSIBILITY TO MAINTAIN THESURFACE AREA OF PROPERTY OVER WHICH AN EASEMENT LIES SHALL REMAIN WITHTHE OWNER AND OWNER'S SUCCESSOR'S IN INTEREST. RESPONSIBILITY TO MAINTAINTHE STREET SHALL PASS TO THE PUBLIC BODY HAVING JURISDICTION WHEN SUCHDEDICATION HAVE BEEN ACCEPTED.THIS PLAT IS GOVERNED BY THE LAND DEVELOPMENT ORDINANCE OF THE CITY OFMERIDIAN, WHICH PROVIDES THAT A FINAL PLAT SHALL CONSTITUTE A DEDICATION.HOWEVER, APPROVAL OF THE FINAL PLAT SHALL NOT CONSTITUTE THE CITY'SACCEPTANCE OF THE DEDICATION. SUCH ACCEPTANCE SHALL BECOME EFFECTIVEONLY UPON THE EXECUTION BY THE MAYOR OR A SEPARATE INSTRUMENT FOR THATPURPOSE, AFTER THE CITY COUNCIL HAD FOUND THAT ALL STRUCTURE ANDIMPROVEMENTS RELATING TO THE DEDICATED PROPERTY HAVE BEEN COMPLETEDAND HAVE BEEN APPROVED UPON INSPECTION BY THE CITY. DEDICATION IS NOBINDING UPON THE CITY UNTIL ACCEPTED.IN WITNESS WHEREOF WE THE OWNERS DO HEREBY SET OUR HANDS.GOLD STREAM PARTNERS, LLC.BY.: JAMES R. PETERSENITS: MANAGERSIGNATURE:__________________________________________________________________ACKNOWLEDGEMENTON THIS _________ DATE OF _______________, IN THE YEAR 20____, BEFORE ME ANOTARY PUBLIC,PERSONALLY APPEARED JAMES R. PETERSEN, KNOWN OR IDENTIFIED TO ME TO BETHE MANAGER OF GOLD STREAM PARTNERS, LLC., THE CORPORATION THATEXECUTED THIS INSTRUMENT AND ACKNOWLEDGED TO ME THAT THEY EXECUTED THESAME ON BEHALF OF SAID CORPORATION.IN WITNESS WHEREOF, I HAVE HEREUNTO SET MY HAND AND AFFIXED MY SEAL THISDAY AND THIS CERTIFICATE ABOVE WRITTEN._______________________________________________NOTARY PUBLICRESIDING AT _____________________________________________________MY COMMISSION EXPIRES _________ DAY OF _______________________________,20_____HEALTH CERTIFICATESANITARY RESTRICTION AS REQUIRED BY IDAHO CODE, TITLE 50 CHAPTER 13 HAVEBEEN SATISFIED ACCORDING TO THE LETTER TO BE READ ON FILE WITH THE COUNTYRECORDER OR HIS AGENT LISTING THE CONDITION OF APPROVAL. SANITARYRESTRICTIONS MAY BE RE-IMPOSED, IN ACCORDANCE WITH SECTION 50-1326, IDAHOCODE, BY ISSUANCE OF A CERTIFICATE OF DISAPPROVALR.E.H.S. CENTRAL DISTRICT HEALTHDATEADA COUNTY HIGHWAY DISTRICT THE FOREGOING PLAT WAS ACCEPTED AND APPROVED BY THE BOARD OF ADACOUNTY DISTRICT COMMISSIONERS ON THE ____ DATE OF __________________, 20 ____PRESIDENT - ADA COUNTY HIGHWAY DISTRICTCOMMISSIONERS ACCEPTANCEAPPROVAL OF THE CITY ENGINEERI, THE UNDERSIGNED CITY ENGINEER IN AND FOR THE CITY OF MERIDIAN, ADA COUNTY,IDAHO HEREBY APPROVE THE FOREGOING PLAT.CITY ENGINEER ~ MERIDIAN IDAHODATEAPPROVAL OF THE CITY COUNCILI, THE UNDERSIGNED CITY CLERK IN AND FOR THE CITY OF MERIDIAN, ADA COUNTY,IDAHO, HEREBY CERTIFY THAT AT A REGULAR MEETING OF THE CITY COUNCIL HELD ONTHE _____ DAY OF ____________________, 20___, THE FOREGOING PLAT WAS DULYACCEPTED AND APPROVED.CITY CLERK ~ MERIDIAN, IDAHODATECERTIFICATE OF COUNTY SURVEYORI, THE UNDERSIGNED, A LICENSED PROFESSIONAL LAND SURVEYOR FOR ADA COUNTY,IDAHO, DO HEREBY CERTIFY THAT I HAVE CHECKED THIS PLAT AND THAT IS COMPLIESWITH THE STATE OF IDAHO CODE RELATING TO THE PLATS AND SURVEYS.ADA COUNTY SURVEYORDATECERTIFICATE OF COUNTY TREASURERI, THE UNDERSIGNED, COUNTY TREASURER IN AND FOR THE COUNTY OF ADA, STATEOF IDAHO, PER THE REQUIREMENTS OF I.C. 50-1308, DO HEREBY CERTIFY THAT ANYAND ALL CURRENT AND OR DELINQUENT COUNTY PROPERTY TAXES FOR THEPROPERTY INCLUDED IN THIS SUBDIVISION HAVE BEEN PAID IN FULL. THISCERTIFICATION IS VALID FOR THE NEXT THIRTY (30) DAYS ONLY.COUNTY TREASURER DATERECORDERS CERTIFICATEINSTRUMENT NO. ____________________________I HEREBY CERTIFY THAT THIS INSTRUMENT WAS FILED FOR RECORD AT THE REQUESTOF ___________________________________________AT____MINUTES PAST_____O'CLOCK THIS ______ DAY OF _______________________, YEAR OF ________,IN BOOK_____________OF PLATS AT PAGE __________DEPUTY EX-OFFICIO RECORDER