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Exhibit A <br />CITY MAP CHECK AGREEMENT D07 -028 <br />SAMPLE FORMAT CERTIFICATES <br />SAMPLE FORMAT #1 - COUNTY SURVEYOR'S CERTIFICATE <br />I hereby state that I have examined this map and have found that all mapping provisions of the <br />Subdivision Map Act have been complied with and I am satisfied said map is technically correct relative <br />to the map boundary. <br />Dated this day of <br />Raymond L. Mathe, County Surveyor <br />SAMPLE FORMAT #2 - COUNTY SURVEYOR'S CERTIFICATE <br />I hereby certify that I have examined this map and I am satisfied said map is technically correct. <br />Dated this day of <br />Raymond L. Mathe, County Surveyor <br />SAMPLE FORMAT #3 - CITY ENGINEER'S STATEMENT <br />(TRACT AND PARCEL MAPS) <br />I hereby state that I have examined this map and found it to be substantially the same as it <br />appeared in the tentative map, if required, as filed with, amended and approved by the City Planning <br />Commission; that all provisions of the Subdivision Map Act and City Subdivision Regulations have been <br />complied with and the map is technically correct in all respects not certified by the County Surveyor. <br />Dated this day of <br />Print (Name / Title) <br />(Signature) <br />of City of R.C.E. # <br />My registration expires <br />I of 3 <br />