MONTGOMERY COUNTY PLANNING DEPARTMENT
THE MARYLAND-NATIONAL CAPITAL PARK AND PLANNING COMMISSION
CERTIFICATE OF COMPLIANCE
I do hereby certify, to the best of my knowledge, information, and reasonable belief, that all
of the information and data provided with this application is accurate, and all of the
features and elements provided on the plans is consistent with the standards of the
applicable zone. The certification includes, but is not limited to boundary information,
property information and ownership, topography, historic resources, etc. I agree that the
submitted plans may be rejected or returned by the Maryland-National Capital Park and
Planning Commission if the plans are found to be inaccurate, false or misleading.
______________________________________________
Applicant or Applicant’s Representative Date
Print Name: __________________________________
Print Company: _______________________________
Print Title: ___________________________________
Plan Name: ___________________________________
Plan Number: ________________________________