Certification Forms Required on Plan Cover Sheets
(Certification may be copy/pasted below)
Site Development Plan
- Certificate of Ownership
- Planning Commission
- Town Council
- Town Clerk
Final Plat (Major and Minor Subdivisions)
- Owner’s and Mortgagee’s Certificate of Dedication and Ownership
- Owner’s Estoppel Certificate
- Surveyor’s Certificate
- Planning Commission
- Town Council
PD Plan
- Certificate of Ownership
- Town Clerk
- Planning Commission
- Town Council
FDP
- Certificate of Ownership
- Town Clerk
- Planning Commission
- Town Council
Annexation
- Surveyor’s Certificate
- Certificate of Ownership
- Planning Commission
- Town Council
- Town Clerk
Re-Zoning Plan
- Surveyor’s Certificate
- Certificate of Ownership
- Planning Commission
- Town Council
- Town Clerk
Special Use Permit
- Certificate of Ownership
- Town Clerk
- Planning Commission
- Town Council
Conditional Use Permit
- Certificate of Ownership
- Town Clerk
- Planning Commission
Resubdivision/Lot Line Adjustment
- Certificate of Ownership
- Surveyor’s Certificate
- Town Manager
Subdivision Exemption
- Surveyor’s Certificate
- Town Manager
Vacation of Street, Alley, etc.
- Surveyor’s Certificate
- Planning Commission
- Town Council
- Town Clerk
Historic Designation
- Planning Commission
- Town Council
- Town Clerk
Variance
- Surveyor’s Certificate
- Town Board of Adjustment
- Town Clerk
Certification Form Examples
Certificate of Ownership
I certify that I,____________________________, am the sole owner of the property and consent to this plan.
In witness whereof I hereunto set my hand this ___ day of _____________, 20___.
__________________________________
Owners
__________________________________
Mortgagees or Lien Holders
STATE OF ________________
County of __________ (ss.)
The foregoing certificate of ownership was acknowledged before me this ___ day of ___________________, 20__, by ____________________________________.
My commission expires:_____________________
___________________________
Notary Public
(Seal)
Owner’s Estoppel Certificate
I,___________________________________, the owner of the property included in the within subdivision, certify that this final plat and the subdivision improvement agreement to be executed in connection herewith if required, embody the entire agreement between the owner of said property and the Town with regard to the subdivision of said property, and that the owner is not relying upon any other representations, warranties, understandings or agreements in connection with any matter encompassed by this plat or the subdivision improvement agreement if required, except as set forth herein or in said subdivision improvement agreement.
________________________________
Owner
Surveyor’s Certificate
I,__________________________________, a Registered Professional Land Surveyor in the State of Colorado, do hereby certify that the survey represented by this
drawing was made under my supervision and the monuments shown thereon actually exist, that this drawing accurately represents said survey, and that said survey is in compliance with the requirements of Title 38, Article 51, C.R.S., as amended, and the Town of Superior Municipal Code.
___________________
Date of Survey
__________________________
Registered Land Surveyor
________________
Seal
Planning Commission Certificate
Recommended approval this ___ day of _________________, 20__, by the Town of Superior Planning Commission, Resolution No. PC ____ ____Series 20___.
Town Council Certificate
Approved by the Town Council of the Town of Superior, State of Colorado.
Witness my hand with the corporate seal of the Town of Superior this ___ day of ________________, 20____.
ATTEST:
____________________________
Town Clerk
___________________________
Mayor
Town Clerk Certificate
I hereby certify that this instrument was adopted by the Town Council by {Resolution/ Ordinance} No. ________, Series 20____ on this ________________ day of ___________, 20_______, and was filed in my office on the _______day of _______________, 20______, at _______o’clock ___m.
_________________________________
Town Clerk
Board of Adjustment Certificate
Approved by the Board of Adjustment of the Town of Superior, State of Colorado. Witness my hand with the corporate seal of the Town of Superior this ______day of ________________, 20____.
ATTEST:
____________________________
Town Clerk
____________________________
Mayor
Town Manager Certificate
Approved by the Manager of the Town of Superior, State of Colorado. Witness my hand with the corporate seal of the Town of Superior this ______day of ________________, 20____.
ATTEST:
____________________________
Town Clerk
____________________________
Town Manager