EXAMPLES OF CERTIFICATIONS AND STATEMENTS
Brunswick, Ohio
1. Notarized certification by owners: We the undersigned owners of the lands embraced within the subdivision hereby acknowledge this plat and subdivision to be our free act and deed, and to hereby dedicate to public use forever the streets, easements, parks and other public sites shown upon this plat. Witness Owner Witness Owner State of Ohio County) ss Before me, a Notary Public in and for said County and State, personally appeared the above named and , husband and wife, who acknowledged the making of the foregoing instrument and the signing of this plat to be their free act and deed. In testimony whereof I have hereunto set my hand and affixed my official seal at Ohio, this day of , 19 . Notary Public 2. Notarized certification by surveyor or engineer: I hereby certify that I have surveyed the land shown on this plat, that this plat is a correct representation of the land surveyed and the subdivision thereof, and that I have found or set the pins and monuments shown, and that all lots conform to the City of Brunswick Zoning Ordinance. Registered Surveyor State of Ohio) County )ss Before me, a Notary Public, in and for said County and State, personally appeared the above named ___________________ who acknowledged the foregoing certificate to be his free act and deed. In testimony whereof I have hereunto set my hand and affixed by official seal at Ohio, this day of 19 . 3. Approval Statements: Approved by the Brunswick Planning Commission this day of 19 . Chairman Secretary Approved by the Brunswick City Engineer this _____day of 19 . Engineer Approved by the Medina County Board of Health this day of 19 . Commissioner Approved by the Medina County Sanitary Engineer this day of , 19 . Sanitary Engineer This Plat approved by the Council of the City of Brunswick for recording purposes only and said approval does not constitute the acceptance for public use of any streets or other lands which said plat indicates shall be dedicated to such use, by Ordinance No. adopted this day of , 19 . Clerk Received for recording this day of ,19 . Recorder Recorded this day of ,19 , at A. M. P.M. in Plat Book No. , page . Received for transfer this day of , 19 . County Auditor Received for transfer this day of , 19 . Tax Map Draftsman |