APPENDIX I - FORMS AND FLOW CHARTS
SUGGESTED FORMS FOR FINAL PLAT CERTIFICATION
Form 1 (on plat)
 
CERTIFICATE OF OWNERSHIP AND DEDICATION
I (we) hereby certify that I am (we are) the owner(s) of the property shown and described hereon and that I (we) hereby adopt this plan of subdivision with my (our) free consent, establish the minimum building restriction lines, and dedicate all streets, alleys, walks, parks, and other open  spaces to public or private use as noted.
                                                                                               
Date               Owners
Form 2 (on plat)
 
CERTIFICATE OF ACCURACY
I hereby certify that the plan shown and described hereon is true and correct survey to the  accuracy required by the Loudonville Planning Commission and that the monuments have been placed as shown hereon.
 
                                                                                               
Date                Registered Surveyor
Form 3 (attached on plat)
 
CERTIFICATION OF THE APPROVAL OF ANY NON-VILLAGE
WATER AND SEWERAGE SYSTEMS (IF ANY)
I hereby certify that the Non-Village water supply and sewage disposal utility systems installed, or proposed for installation, in the subdivision plat entitled:                                      fully meet the requirements of Ashland County Board of Health and/or the Ohio State Health Department (or Environmental Protection Agency if applicable) and are hereby approved as shown.
                            ,                                                                        
            Ashland County Board of Health and/or
            State Health Department as Applicable (or
            Environmental Protection Agency, if Applicable)
Form 4 (on plat)
 
CERTIFICATION OF THE APPROVAL OF PLAT AND ENGINEERING
DETAILS
I hereby certify that I have approved the plat and engineering details of the proposed roads, and other proposed public facilities in the subdivision plat as shown hereon.
                            ,                                                                        
            Planning Commission's Authorized Representative
Form 5 (attached on plat)
 
CERTIFICATE OF APPROVAL OF WATER AND SANITARY SEWER
SYSTEMS
I hereby certify (only one shall be certified):
(1)    That all water and sewer systems have been installed in accord with the ordinances of the Village for the Subdivision entitled:
                                               
 
                                                                                        
    Date          Chairman, Board of Trustees of Public Affairs
(2)    That a security bond has been posted in sufficient amount to assure completion of the water and sewer systems in case of default.
 
                                                                                            
   Date         Chairman, Board of Trustees of Public Affairs
Form 6 (attached to plat)
 
CERTIFICATION OF THE APPROVAL OF STREETS AND OTHER
IMPROVEMENTS
I hereby certify (only one of the following shall be certified):
(1)    That streets and other required improvements have been installed in an acceptable manner  according to Village specifications and that the required maintenance bond has been received by the Village for the subdivision entitled:
                                                                           
 
                                                                                         
   Date          Planning Commission's Authorized Representative
(2)    That a security bond in the amount of $               has been posted with the Village to assure  completion of all required improvements in case of default.
 
                                                                                 
   Date          Planning Commission's Authorized Representative
 
Form 7 (on plat)
 
CERTIFICATE OF APPROVAL FOR RECORDING
I hereby certify that the subdivision plat shown hereon has been found to comply with the Subdivision Regulations for Loudonville, Ohio, with the exception of such variances if any, as are noted in the minutes of the Loudonville Planning Commission and that it has been approved  for recording in the office of the County Recorder.
 
                                                                                                     
   Date         Chairman, Loudonville Planning Commission
Form 8 (on plat)
 
CERTIFICATE OF COUNTY AUDITOR
I hereby certify that there are no delinquent or unpaid taxes of record upon the subdivision plat as shown hereon as of the date of transfer.
 
Transferred                                                     ,              
 
                                                              
         Ashland County Auditor
Form 9 (on plat)
 
CERTIFICATE OF COUNTY RECORDER
I hereby certify that the attached plat was received for record               ,             at
              . And was recorded               ,     in Volume         , Page          of the Ashland County Records.
Fee                        
 
                                                              
         Ashland County Recorder
 
SUBDIVISION RECORD FOR TYPE I SUBDIVISIONS
Owner                                         Address                                             
               Telephone                                            
 
Agent                                           Address                                               
               Telephone                                            
 
Surveyor                                   Address                                               
               Telephone                                             
 
Date Submitted for Approval                                                                      
 
         Filing fee paid.    Amount                        
 
         Accurate drawing received showing all required information.
 
      Review by County Board of Health (if no central water and sewer facilities available) completed and comments received.
 
              Subdivision attached hereto is not contrary to General Requirements and Standards of Design of the Loudonville Subdivision Regulations; it is not contrary to other applicable platting, subdividing or zoning regulations; and will not create or lead to the creation of any serious health threat.
 
Approved                                        
      Date
 
Disapproved                                             For the following reasons:
                                                                                                                 
                                                                                                                 
 
               Signed                                                      
                  Loudonville Planning Commission's
                  Authorized Representative
 
SUBDIVISION RECORD FOR
PRELIMINARY PLAT OF TYPE II SUBDIVISIONS
 
Name of Subdivision                                                                              
 
Owner                                           Address                                             
               Telephone                                          
 
Agent                                           Address                                               
               Telephone                                           
 
Surveyor                                   Address                                               
               Telephone                                             
 
Date submitted for preliminary approval                                              
 
      CHECK LIST
 
               Eight (8) copies of preliminary plat submitted ten (10) days prior to the Planning Commission meeting.
               Filing fee paid.
               Drawn to a scale of not less than 1" equals 100'.
               Name, owner and surveyor.
               Date, north point, and graphic scale.
               Location of all existing physical features on land.
               Plans of proposed utility layouts.
               Names, locations and dimensions of proposed streets, alleys, easements, parks and reservations, lot lines, etc.
               Profiles of all streets (if required).
               Contours at not more than 5' intervals.
               Acreage of land to be subdivided.
               Location sketch map.
               Conforms to general requirements and minimum standards of design.
 
Approved                      (date) to proceed to final plat. Subject to following modifications:
                                                                                                                                   
 
Variances granted:                                                                                       
 
Disapproved                                 For the following reasons:
      date
                                                                                                                                   
 
            Signed:                                                           
               Authorized Representative, Loudonville
               Planning Commission
 
SUBDIVISION RECORD FOR
FINAL PLAT OF TYPE II SUBDIVISIONS
 
Name of Subdivision                                                                                 
 
Owner                                       Address                                                 
               Telephone                                               
 
Preliminary Plat approval granted:                                                                
               Date
 
Submitted for FINAL PLAT approval                                                           
                  Date
 
   CHECK LIST
 
               Submitted within two (2) years of Preliminary Plat approval.
               Original and three (3) copies submitted ten (10) days prior to meeting.
               Drawn to scale of 1" equals 100' or 1" equals 50' (unless a smaller scale was  approved by the Planning Commission).
               Date, north point, graphic scale, name.
           Bearings of property lines and sufficient engineering data to locate all lines including radii, angles and tangent distance.
               Dimensions to the nearest 100th of a foot and angles to the nearest minute.
               Lot lines, alleys, building setback lines.
               Lines and names of all streets and roads.
               Location and description of monuments.
               Lots numbered in numerical order.
               Names, location of adjoining properties.
               Location sketch map.
             Certificate of Ownership and Dedication.
             Certificate of Accuracy by Registered Surveyor.
               Certificate of Approval of any Non-Village Water and Sewerage Systems.
             Certificate of Approval of Plat and Engineering Details.
               Certificate of Approval of Water and Sewer Systems of Bond.
               Certificate of Approval of Streets and All other Improvements, Bond or other Agreement.
               Proposed deed restrictions if not a zoned area.
               Conforms to general requirements and minimum standards of design.
 
Approved for recording                                                                               
            Date
 
Variance granted:                                                                                      
 
                                                                                                             
 
Disapproved                          For the following reasons:
      Date
                                                                                                                                                                                                                                                                                               
 
                                                                                                             
 
            Signed:                                                              
               Authorized Representative, Loudonville
               Planning Commission
Subdivision Regulations
Flow Chart 1
SUBDIVISION TYPE I PLAT APPROVAL
 
Flow Chart 2
SUBDIVISION TYPE II PLAT APPROVAL