THIS CONVEYANCE is made this [first] day of [July, 19861 by and between the [Anytown Historical Society], a non-profit organization] having its location in [Anytown], Maine, hereinafter sometimes called the Grantor, and the State of Maine through the Director of the Maine Historic Preservation Commission, hereinafter, sometimes called the Grantee.
WHEREAS THE Grantor is owner of certain premises known as the [John Doe House] in [Anytown], Any County), Maine, which premises have been listed in or nominated to the National Register of Historic Places under the National Historic Preservation Act of 1966 ( P.L. 89-665,, et seq.); and
WHEREAS THE State of Maine through the Director of the Maine Historic Preservation Commission is presently responsible for precluding any activity or omission at the premises which would destroy or impair its value to the public as an historic place; and
WHEREAS THE Grantor is willing to grant to the State of Maine the easement as hereinafter expressed for the purpose of insuring that the value of the premises for such purposes will not be destroyed or impaired;
NOW THEREFORE in consideration of the sum of One Dollar and other valuable consideration paid to the Grantor, the receipt whereof is hereby acknowledged, the Grantor does hereby give, grant, bargain, sell and convey, with covenant of warranty, into the State of Maine an easement in the following described lots or parcel of land, with the buildings and improvements thereon (the real property together with the buildings and improvements thereon and the fixtures attached thereto and the appurtenances thereof, being hereinafter collectively referred to as the "Property") located in [Anytown, Any County], Maine and described in the [Any] County Registry of Deeds, [Book 1226, Page 402].
The easement herein granted shall be of the nature and character hereinafter expressed and shall be a covenant running with the land, binding upon Grantor; its successors and assigns.
The Property is comprised of grounds, collateral, or appurtenant improvements and the John Doe House. The John Doe House is more particularly described as follows:
The [John Doe House], built in 1857, is a 1 1/2-story frame building with a single, central brick chimney, gable roof, clapboard siding, and full-stone foundation. Windows are generally of 9/6 double-hung type.
The foregoing description of the John Doe House may be amended, replaced, or elaborated upon in more detail, and a description of the style, landscaping and similar particulars of the grounds, and any collateral or appurtenant improvements on the Property may be added, by an instrument in writing, signed by both parties hereto, making reference to this Easement Deed and filed of record in the [Any] County Registry of Deeds. If and when such an instrument is placed of record, it shall be deemed to be a part of this Easement Deed as if set out herein.
For the purpose of preserving, protecting, maintaining the Property, including its significance and value to the public as an historic place, the Grantor does hereby covenant and agree, on behalf of itself, its successors and assigns with the Grantee, its successors and assigns, as follows:
IN WITNESS WHEREOF, The [Anytown Historical Society], signed by
__________________, ____________________, and
___________________, its officers duly authorized and have hereunto set hand and seal for the purpose set
forth above, all as of the day and year first written above.
[THE ANYTOWN HISTORICAL SOCIETY]
STATE OF MAINE
Then personally appeared the above named _________________________, _________________________, and _________________________, of the Anytown Historical Society, and acknowledged the foregoing instrument to be their free act and deed in said capacity and the free act and deed of the Anytown Historical Society, Anytown, Maine.
94-089 C.M.R. ch. 811, 089-811 app B