The following statements shall be affixed on the subdivision plat:
Situated in Section Township, Range, County, Ohio, containing acres and being the same tract as conveyed to and described in the deed recorded in Deed Book County, Ohio.
The undersigned hereby certify that the attached plat correctly represents their , a subdivision of lots to inclusive, do hereby accept this plat of same and dedicate to public (private) use as such all or parts of the roads, boulevards, cul- de-sacs, parks, planting strips, etc., shown herein and not heretofore dedicated.
The undersigned further agrees that any use of improvements made on this land shall be in conformity with all existing valid zoning, platting, health, or other lawful rules and regulations including the applicable off-street parking and loading requirements of , Village, Ohio, for the benefit of himself and all other subsequent owners or assigns taking title from, under, or through the undersigned.
In Witness thereof day of , .
Witness Signed
We do hereby certify that we have surveyed the premises and prepared the attached plat and that said plat is correct.
By
STATE OF OHIO
VILLAGE OF COLUMBUS GROVE
Before me a Notary Public in and for said Village, personally came who acknowledged the signing of the foregoing instrument to be their voluntary act and deed for the purposes therein expressed.
In witness whereof I have hereunto set my hand and affixed my official seal this , 19 .
By
(Ord. 1991-4. Passed 5-13-91.)