The following statements shall be affixed on the subdivision plat:
DEDICATION
Know all men by these presents that ____________________________________________ and
____________________________________________ proprietors of the land indicated on the
accompanying plat have authorized the platting thereof and do hereby dedicate the (streets, roads,
parks, etc.) to the (public or private) use forever.
_______________________________________ ___________________________________
_______________________________________ ___________________________________
Witnesses Proprietors
STATE OF OHIO
COUNTY OF UNION
Before me a Notary Public in and for said county personally came_______________________
who acknowledged the signing of the foregoing instrument to be their voluntary act and deed for
the uses and purposes therein expressed.
In witness whereof, I have hereunto set my hand and affixed my official seal this___________ day of , 20 .
_____________________________________
Notary Public
SURVEYORS CERTIFICATE
The accompanying plat represents a subdivision of land in (S.T.R. or V.M.S.No.)
_________________________Township, Union County, Ohio and the Village of
________________________.
The tract has an area of ___ acres in streets and ___ acres in lots making a total of ___ acres.
All measurements are in feet and decimals of a foot. All measurements on curves are (Chord or Arc) distances.
I hereby certify that the accompanying plat is a correct representation of an actual field survey of (Subdivision Name) as surveyed ________________________________ , that all dimensional details are correct and that all monuments have been placed as shown or will be placed on
(date) or before the established completion date for the required improvements.