1. All documents, maps, and survey notes shall contain the name of the subdivision or be clearly referenced to it, and shall contain the name and address of the subdivider and his surveyors or engineer, or be clearly referenced to it.

2. The legal description of the plat and the following information shall appear in the following sequences on the final plat, lettered in ink either by hand or mechanical device:

Know all men by these presents that ___________________, the undersigned owner(s) in fee simple, and encumbrances of the land hereby platted, hereby declare this plat and dedicate(s) to the use of the public forever, all streets and easements or whatever public property there is shown on the plat and the use thereof for any and all public purposes; also, the right to make all necessary slopes for cuts or fills upon the lots, blocks, tracts, etc., shown on this plat in the reasonable original grading of all streets, shown hereon.

Signed & Sealed _______________

State of Washington    )

    )ss

County of Snohomish    )

This is to Certify that on this ___ day of ________, 20___, before me the undersigned, a Notary Public, personally appeared ___________ to me known to the the person(s) who executed the foregoing dedication and acknowledged to me that _________________ signed and sealed the same as ________________ free and voluntary act and deed for the uses and purposes mentioned.

Witness my hand and official seal the day and year last above written.

___________________________
Notary Public in and for the State of Washington, residing at ___________________________
Commission expires __________

I hereby certify that the plat of ______________ is based on actual survey and subdivision of Section ________, Township _______, North, Range _________ E.W.M., that the distances and courses and angles are shown thereon correctly, that proper monuments have been set and lot block corners staked on the ground.

Signed ___________________ (Seal)

Licensed Land Surveyor

Examined & Approved this ___ day of ___________, A.D., 20___.

______________________________
Development and Business Services Director

Examined & Approved this ___ day of ___________, A.D., 20___.

______________________________
Public Works Director

Attest:

______________________________
Administrative Services Director

Filed for record at the request of the city of Lynnwood this ___ day of ______, A.D., 20___, at ______ minutes past ________ o’clock, __.M., and recorded in Volume _____ of Plats, on Page ____, records of Snohomish County, Washington.

______________________________
Snohomish County Auditor

______________________________
Deputy County Auditor

I, ________________________, Treasurer of Snohomish County, Washington, do hereby certify that all taxes on the above described tract have been fully paid up to and including the year of 20___.

______________________________
Snohomish County Treasurer

3. The boundary lines with accurate distances and bearings, location, and width of all existing previously recorded public highways approaching and intersecting the boundaries of the subdivision shall be shown on the map and referenced to the United States Coast and Geodetic Survey datum or the plain coordinate system for the state of Washington, and/or acceptable data prescribed by the public works director.

4. The map shall accurately show the boundary lines of all parks and playgrounds and the rights-of-way of all public streets contained in the plat, subdivision, or dedication, and shall contain thereon, suitably inscribed, and described, a statement of dedication of these rights-of-way, playgrounds, parks, and other necessary areas.

5. The final plat shall clearly show the following information:

6. The subdivider shall submit complete field and computation notes showing original or re-established corners, with description of the same; showing true bearings and distances to established street lines and monuments, turning angles, points of curvature, length of tangents, and the actual traverse showing error of enclosure and method of balancing with sketches showing all distances, angles and calculations required to determine corners and distances of the plat, subdivision, or dedication.