Table 15T-03
(Referred from LMC 15.10.260(C))
I hereby certify that the plat of _______________ is based upon an actual survey and subdivision of a portion of Section _______________, Twp. __________, Range __________ E or W, W.M.; that the distances and courses shown thereon are correct; that the monuments have been set and lot and block corners staked on the ground.
___________________________________
1.
Certificate--City Engineer.
Examined and approved this __________ day of _______________ 20 ___.
___________________________________
City Engineer
2.
Certificate--Health Officer.
Examined and approved this __________ day of _______________ 20 ___.
___________________________________
Title
NOTE.–Health Officer signature is not required when potable water and sanitary sewer are provided by the City.
3.
Certificate--Assessor.
Examined and approved this __________ day of _______________ 20 ___.
___________________________________
Thurston County Assessor
4.
Certificate--Treasurer.
I hereby certify that all taxes on the land described hereon have been fully paid to and including the year ____________________.
___________________________________
Treasurer, Thurston County
5.
Certificate--City Planner.
Examined and approved this __________ day of _______________ 20 ___.
___________________________________
City Planner
6.
Certificate--Mayor for Lacey City Council.
Examined and approved this __________ day of _______________ 20___.
Lacey City Council
By ________________________________
Mayor
Attest:
__________________________________
City Clerk
7.
Certificate--County Auditor.
Filed for record at the request of ____________________ this day __________ day of _______________, 20___, at __________ _____m. and recorded in Volume _____ of Plats, on Page _____, records of Thurston County, Washington.
___________________________________
Thurston County Auditor
___________________________________
Deputy Auditor
(Ord. 1480 §8 (part), 2015; Ord. 1427 §11 (part), 2013).