EDITOR'S NOTE: Appendix is available in PDF, click HERE
STATE OF OHIO:
ss: AFFIDAVIT OF COMPLIANCE
COUNTY OF RICHLAND:
VILLAGE OF BELLVILLE:
being first duly sworn on oath (or affirm under penalty of perjury) deposes and says that:
1. Affiant is the owner of land proposed to be subdivided in accordance with the survey attached hereto, marked “Exhibit A.”
2. The proposed subdivision is of land located along an existing public street and does not involve the opening, widening, or extension of any street or road.
3. The parcel being divided will be divided into no more than five (5) parcels when the original tract is completely subdivided.
4. The proposed subdivision is not contrary to applicable platting, subdividing or zoning regulations and conforms in all respects to the Village of Bellville, Ohio, Subdivsion Rules and Regulations and the provisions thereof applicable to “minor subdivisions.”
Sworn to before me and subscribed in my presence, this day of
, 20 .
Notary Public