Statements shall appear on the map as follows:
Surveyor’s Statement
This map correctly represents a survey made by me or under my direction in conformance with the requirements of the Professional Land Surveyors’ Act at the request of
Name of Person Authorizing Survey
in _______, 20__.
(Signed and sealed) (Date)
L.S. (or R.C.E.) No.
County Surveyor’s Statement
This map has been examined in accordance with Section 8766 of the Professional Land Surveyors’ Act this ____ day of ____, 20__.
(Signed and sealed) County Surveyor
L.S. (or R.C.E.) No.
Recorder’s Statement
Filed this ____ day of ____, 20__, at ____.m. in Book ____ of ____ at page ____, at the request of ____.
(Signed) County Recorder
No other statements may appear on the face of the map except those required or authorized by this article.