APPENDIX III
SUGGESTED FORMS FOR FINAL PLAT CERTIFICATION
 
Form 1   CERTIFICATE OF OWNERSHIP AND DEDICATION
(on plat)
I (we) hereby certify that I am (we are) the owners of the property shown and described hereon and that I (we) hereby adopt this plan of development with my (our) free consent, and dedicate all streets, alleys, walks and those parks and open space as noted, to public use.
                                                              
      Date
            Owner
            Owner
 
Form 2   CERTIFICATE OF ACCURACY
(on plat)
I hereby certify that the plan shown and described hereon is a true and correct survey to the accuracy required by the Mount Vernon, Ohio, Planning Commission and that the monuments have been placed as shown hereon, to the specifications of the City Engineer.
                                                             
      Date
            Registered Engineer or Surveyor
 
Form 3   CERTIFICATION OF THE APPROVAL OF WATER AND SEWERAGE SYSTEMS
(attached to plat, if applicable)
I hereby certify that the water supply and sewage disposal utility systems installed, or proposed for installation, in the subdivision plat entitled:                                                                    fully meet the requirements of the Ohio State Health Department, and are hereby approved as shown.
                                                             
      Date
            County Health Commissioner
 
Form 4   CERTIFICATION OF THE APPROVAL OF STREETS AND UTILITIES
(attached) to plat)
I hereby certify: (1) that streets, utilities and other improvements have been installed in an acceptable manner and according to City specifications in the development entitled:                               or, (2) that a security bond in the amount of $                            has been posted with the City (or County) legislative body to assure completion of all required improvements in case of default.
                                                               
      Date
            City Engineer
 
Form 5   CERTIFICATE OF APPROVAL FOR RECORDING
(on plat)
I hereby certify that the plat shown hereon has been found to comply with the Subdivision Regulations for Mount Vernon, Ohio, with the exception of such variances, if any, as are noted in the minutes and resolutions of the Planning Commission and that it has been approved for recording in the office of the County Clerk.
                                                        
Date
Chairman, Planning Commission
(Ord. 2005-34. Passed 12-12-05.)