I, ____________________ (Name of Examining Land Surveyor), acting as an Examining Land Surveyor for Flathead County, Montana, do hereby certify that I have examined the final plat of ____________________ (Name of Subdivision) and find that the survey data shown thereon meet the conditions set forth by or pursuant to Title 76, Chapter 3, Part 4, M.C.A.

Dated this _____ day of __________, 19_____.

(Signature)

(Name of Surveyor)

(Seal of Examining Land Surveyor)

__________

Registration No.

Flathead County