1179.02 DEDICATION.

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) to the (public or private) use forever.

Witnesses             Proprietors

   STATE OF OHIO

   COUNTY OF CHAMPAIGN

   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       .

By                                                   

   Notary Public

(1984 Code Sec. 151.141)