Index › Page 16 — Deed of Dedication — Board Acceptance & Form Approval

ACCEPTED PER VIRGINIA CODE SECTION 15.1-286
BOARD OF COUNTY SUPERVISORS OF PRINCE WILLIAM COUNTY

BY: [Signature]

Chief of Division of Land Permitting Services,
Designee Director of Planning, its authorized agent.

COMMONWEALTH OF VIRGINIA, AT LARGE,
COUNTY OF PRINCE WILLIAM, to-wit:

I, the undersigned Notary Public of and for the jurisdiction aforesaid, do hereby certify that [Chief of Division of Land Permitting Services], whose name is signed to the foregoing Deed dated September 30, 1992, has this date appeared before me, and acknowledged the same in my jurisdiction aforesaid.

GIVEN under my hand and seal this 3rd day of October, 1992.

Notary Public

My commission expires:   September 30, 1996

FORM APPROVED PER VIRGINIA CODE SECTION 15.1-286

10/9/92
Date

(Assistant) County Attorney

Original scan of page 16 showing board acceptance and form approval
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