APPENDIX B
EXAMPLES OF CERTIFICATIONS AND STATEMENTS
CERTIFICATIONS AND STATEMENT
City of Medina, Ohio
 
1. Notarized Certification by Owners:
We the undersigned owners of the lands embraced within this subdivision hereby acknowledge this plat and subdivision to be our free act and deed, and do hereby dedicate to public use forever the streets, easements, parks, and other public sites and all improvements therein as shown upon this plat.
______________________________      ______________________________
Witness               Owner
______________________________      ______________________________
Witness               Owner
State of Ohio)      ss
___________County)
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. 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 Municipal Zoning Ordinance.
_____________________________
Registered Surveyor
3. Approved by the Medina City Planning Commission this______day of ____________, 19__ .
_____________________________
Planning Director
4. This plat was duly accepted by Ordinance No. _________ of Medina City Council at a regular/special meeting held on the ______ day of _________________ , 19___.
_____________________________
President of Council
_____________________________
Clerk of Council
                
5. Received for transfer ____________ , 19____.
_____________________________
Tax Map Draftsman
6. Received for transfer _____________________, 19___.
_____________________________
Medina County Auditor
7. Received for record ______________________, 19 ___at _______ A.M./P.M.
Recorded ____________, 19____ in volume ________Page ________, Fee $_______ ,
_____________________________
Medina County Recorder
8. I certify that the required improvements have been installed and/or the necessary financial guarantees have been provided.
_________________________________________
Medina City Engineer         date
 
 
CODIFIED ORDINANCES OF MEDINA