§ 151.23 PLAT CERTIFICATIONS AND DEED OF DEDICATION.
   The following forms shall be used in plats:
   (A)   Commission certificate for primary approval.
 
UNDER AUTHORITY PROVIDED BY THE INDIANA AREA PLANNING LAW, I.C. 36-7-4, ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF INDIANA, AND ALL ACTS AMENDATORY THERETO, AND AN ORDINANCE ADOPTED BY THE BOARD OF COUNTY COMMISSIONERS OF OHIO COUNTY, INDIANA, THIS PLAT WAS GIVEN PRIMARY APPROVAL BY THE OHIO COUNTY ADVISORY PLAN COMMISSION AS FOLLOWS:
Approved by the Ohio County, Advisory Plan Commission at a meeting held         , 20       .
OHIO COUNTY ADVISORY PLAN COMMISSION
(Seal)                                 President
 
   (B)   Commission certificate for secondary approval.
 
UNDER AUTHORITY PROVIDED BY THE INDIANA ADVISORY PLANNING LAW, I.C. 36-7-4, ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF INDIANA, AND ALL ACTS AMENDATORY THERETO, AND AN ORDINANCE ADOPTED BY THE BOARD OF COUNTY COMMISSIONERS OF OHIO COUNTY, INDIANA, THIS PLAT WAS GIVEN SECONDARY APPROVAL BY THE OHIO COUNTY ADVISORY PLAN COMMISSION AS FOLLOWS:
Approved by the Ohio County, Advisory Plan Commission at a meeting held         , 20       .
OHIO COUNTY ADVISORY PLAN COMMISSION
(Seal)                                 President
 
   (C)   Surveyor’s certificate. A certificate shall also be provided for any work on a plat prepared by a registered professional engineer.
 
 
I,                                   
   (Name)
HEREBY CERTIFY THAT I AM A REGISTERED LAND SURVEYOR, LICENSED IN COMPLIANCE WITH THE LAWS OF THE STATE OF INDIANA:
THAT THIS PLAT CORRECTLY REPRESENTS A SURVEY COMPLETED BY ME ON       (Date); THAT ALL THE MONUMENTS SHOWN THEREON ACTUALLY EXIST; AND THAT ALL OTHER REQUIREMENTS SPECIFIED HEREIN, DONE BY ME, HAVE BEEN MET.
                                  
   (Signature)
(Seal) Date        , 20       .
 
   (D)   Plan Commission staff certificate.
 
 
THE OHIO COUNTY ADVISORY PLAN COMMISSION STAFF HAS REVIEWED THE APPLICATION FOR THIS PLAT FOR TECHNICAL CONFORMITY WITH THE STANDARDS FIXED IN THE SUBDIVISION CONTROL CODE, IN ACCORDANCE WITH THE, PROVISIONS OF THE INDIANA AREA PLANNING LAW, I.C. 36-7-4-706, AND HEREBY CERTIFIES THAT THIS PLAT MEETS ALL OF THE MINIMUM REQUIREMENTS IN THE CODE OF ORDINANCES OF OHIO COUNTY, INDIANA.
                           
Building Inspector
Date        , 20       .
 
 
   (E)   County Soil and Water Conservation District certificate.
 
 
AS PROVIDED IN THE LOCAL SOIL AND WATER CONSERVATION DISTRICT PROGRAM AND AUTHORIZED UNDER STATE OF INDIANA ENABLING LEGISLATION, THE BOARD OF SUPERVISORS HAVE REVIEWED THE PLAT AND PLANS FOR
                                                               .
(Development)
IT HAS BEEN DETERMINED THAT THE PLAT AND PLANS HAVE INCORPORATED ADEQUATE MEASURES FOR WATER DISPOSAL AND/OR EROSION CONTROL FOR THE SOIL CONDITIONS PRESENT.
CERTIFIED AT A MEETING HELD ON THE               DAY OF             , 20         .
                   
(Chairperson)
                   
(Secretary)
 
 
   (F)   Deed of dedication. Each plat of a subdivision submitted to the Commission for approval shall carry a deed of dedication in substantially the following form:
 
We, the undersigned                                 ,(names) owners of the real estate shown and described herein, do hereby certify that we have laid off, platted and subdivided, and do hereby lay off, plat and subdivide, said real estate in accordance with the within plat.
This subdivision shall be known and designated as                         , (name) a subdivision of or an addition to Ohio County, Indiana. All streets and alleys shown and not heretofore dedicated are hereby dedicated to the public.
Front and side yard building setback lines are hereby established as shown on this plat, between which lines and the property lines of the street there shall erected or maintained no building or structure.
There are strips of ground                 (number) feet in width as shown on this plat and marked “Easement,” reserved for the use of public utilities for the installation of water and sewer mains, poles, ducts, lines and wires, subject at all times to the proper authorities and to the easement herein reserved.
No permanent or other structures are to be erected or maintained upon said strips of land, but owners of lots in this subdivision shall take their titles subject to the rights of the public utilities.
(Additional dedications and protective covenants, or private restrictions, would be inserted here upon the subdividers initiating or the recommendations of the Commission; important provisions are those specifying the use to be made of the property and, in the case of residential use, the minimum habitable floor area).
The foregoing covenants (or restrictions) are to run with the land and shall be binding on all parties and all persons claiming under them until January 1, 20       (a 25-year period is suggested), at which time said covenants (or restrictions) shall be automatically extended for successive periods of ten years unless changed by vote of a majority of then owners of the building sites covered by these covenants or restrictions, in whole or in part. Invalidation of any one of the foregoing covenants or restrictions, by judgement or court order, shall in no way affect any of the other covenants or restrictions which shall remain in full force and effect.
Witness our hands and seals this          day of 20       .
                   
(Signature)
                  
(Signature)
Before me, the undersigned Notary Public, in and for said county and state, personally appeared
                      (name)
                     (names)
and each separately and severally acknowledge the execution of the foregoing instrument as his or her voluntary act and deed, for the purposes therein expressed.
Witness my hand and notarial seal this day of            , 20         .
                         (Notary Public)
County of residence                
My Commission expires: