Surveyor'S Report And Certification

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Surveyor's report and certification.
To: _________[title insurance company]
This is to certify, that on _________[date], I made an accurate physical survey of the premises standing in the
name of _________ situated at _________[city], _________[county], _________[state] known as street numbers
_________ and shown on the accompanying survey entitled: _________.
I made a careful inspection of those premises and of the buildings located on those premises at the time of making
such survey, and again on _________[date], and at the time of such latter inspection I found _________ to be in
possession of those premises as _________(tenant or owner).
I further certify as to the existence or nonexistence of the following at the time of my last inspection:
1. Rights-of-way, old highways or abandoned roads, lanes or driveways, drains, sewer or water pipes over and
across the premises: _________.
2. Springs, streams, rivers, ponds or lakes located, bordering on or running through the premises: _________.
3. Cemeteries or family burying grounds located on the premises: _________.
4. Telephone, telegraph or electric power poles, wires or lines located on or crossing the premises:
_________.
5. Disputed boundaries or encroachments: _________. (If the buildings, fences or other indications of
occupancy encroach upon adjoining properties or the like encroach upon surveyed premises, specify all such.)
6. Are there any indications of building construction, alterations or repairs within recent months? _________.
7. Building or possession lines: _________. (In case of city or town property specify definitely as to whether
or not walls are independent walls or party walls and as to all easements of support or "beam rights." In case of
country property report specifically how boundary lines are evidenced, that is, whether by fences or otherwise,
and give the names of the abutting owners.)
8. Any change in street lines either completed or officially proposed: _________. Are there indications of
recent street or sidewalk construction or repairs? _________.
9. If any zoning or other municipal regulations affect the use of surveyed premises, do the improvements on
the premises and the use made of them comply with such? _________.
10. If the surveyed premises are subject to restrictive covenants, do the improvements, use and occupancy
comply with such? (If the premises are subject to restrictive covenants, have the examining attorney furnish you
verbatim copy of them.) _________.
Dated at _________ on _________.
_________, Civil Engineer
Instructions
For Survey and Surveyor's Certificate
A survey to be acceptable to _________ Title Insurance Company, must be prepared in U.S. standard of
measurements and if within corporate limits of any town, village or city, must be a "transit" survey and not a
"compass" survey. Preference will always be given to surveys showing bearings referred to true north but all
surveys which show bearings must designate the meridian referred to whether true, magnetic or arbitrary and if true
meridian is not used approximate deflection must be noted on the plat.
1. Boundaries. Every survey, whether of farm or city property, must indicate the physical character of the
boundary lines, that is, whether fence, wall, watercourse, highway, etc., and if no physical evidence of boundaries
exist, such fact must be noted. Any material variations from the record lines by fences, walls or structures, whether
on the property surveyed or adjoining, must be shown, with the extent of such variations. If any of the boundaries or
lines of record coincide with lot or property lines on any filed map, or are adopted from previous surveys, whether by
the same surveyors or otherwise, such facts should be shown on the plat. The surveyor is required to check the
description of adjoining owners, when furnished to surveyor and show the extent of any variations between the
boundaries as stated in that description and those of the property surveyed.
2. Rights-of-Way, Cemeteries, etc. The surveyor must indicate any watercourses, drains, sewers, roads, paths or
trails crossing the property, the closing of which might affect the rights of adjoining owners, whether legal or
assumed. The surveyor must also show any existing cemetery or burying grounds on surveyed or adjacent property.
3. Streets and Alleys. Names of streets and alleys must be shown with the distance from the nearest corner to
beginning point of property surveyed. Width of street and sidewalk in front or at side of premises should be shown
with width of alley in rear or side of premises.

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