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The title, certificates and statements of the final plat shall be in accord with the following forms:
Form 1 Title
Part of original tract _______________________________________
(city or township)
Form 2 CERTIFICATE OF OWNERSHIP AND DEDICATION
I (we) the undersigned (name lettered) owner (s) of the property shown and described hereon as the subdivision do hereby assent to and adopt this subdivision of the same, and acknowledge that the same was made at our request and do hereby dedicate to public use the street(s) (easements) (parks or other public areas) designated in graphic symbols on this plat.
Form 3 ACKNOWLEDGEMENT BY INDIVIDUAL (directly below the above certificate)
State of Ohio) ss.
County of )
Before me, a Notary Public in and for said County and State, personally appeared the above who acknowledged that he, (she, or they) did sign the foregoing instrument and that the same is his (her or their) free act and deed.
IN WITNESS whereof I have hereunto set my hand and official seal at _________________________, _________ this _______ day of ___________ (month), _________(year).
My Commission expires _____________________________
Form 4 Certificate of Surveyor
I hereby certify that I have prepared this survey and plat of _________________ subdivision and that the same is correct and accurate.
_____________________, _____ __________________________
Registered Surveyor-Ohio Serial
Form 5 APPROVAL BY PLANNING COMMISSION
This plat of _______________________ subdivision has been approved by the Planning Commission of the City of _____________________, Ohio, by resolution adopted _________________________________.
______________________, ____ ___________________________
Form 6 CERTIFICATE OF THE APPROVAL OF REQUIRED IMPROVEMENTS
I hereby certify that the pavements, utilities and other required improvements for the subdivision herein approved have been designed in accordance with the regulations an standards in effect that I have estimated the cost of materials and construction and performance guarantees in the amount of $______________ , have been posted with the _______________________ to assure completion of all improvements in case of default.
Form 6A CERTIFICATE OF THE APPROVAL OF REQUIRED IMPROVEMENTS
I hereby certify that pavements, utilities and other required land improvements for the _________________________ subdivision approved by the Planning Commission on _________________________ have been designed in accordance with the regulations and standards in effect, that I have inspected the installation of the same and find all improvements have been installed in accordance with the drawing and specifications therefor, and that the utilities and pavements are in good repair.
Form 7 ACCEPTANCE OF PUBLIC LANDS BY COUNCIL
The public street (s) (park) (playground) (easements) or (other public areas) as noted hereon in graphic symbols were accepted for dedication by the Council of the City of ______________________, Ohio by Ordinance No. _______________.
____________________, _____ ___________________________
Form 8 ACCEPTANCE OF STREET AND UTILITIES FOR PUBLIC USE
(Separate ordinance -- not included on plat)
The public street (s) accepted heretofore for dedication and the public utilities has (have) been found to be constructed in accordance with the drawing, specifications, and design standards in effect and in good repair, is (are) hereby accepted for public use and maintenance by the Council of the City of __________________, Ohio by Ordinance No. ______________.
____________________, _____ _________________________
Form 9 COUNTY RECORDS
Transferred this _____________ day of ________________, ____.
Recorded in Plat Book ____________, Page No. ____________ this
_____________ day of _______________________, _____.