APPENDIX I: CERTIFICATIONS AND STATEMENTS TO BE INCLUDED ON FINAL PLAT
   CERTIFICATIONS AND STATEMENTS TO BE INCLUDED ON FINAL PLAT
   1.   Notarized certification by owner:
   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 shown upon this plat.
                                                                                                                   
      Witness                  Owner
                                                                                                                   
      Witness                  Owner
      State of Ohio )
      Medina County )
               ss
   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                               , 20             .
                                                                                                   
                                       Notary Public
   2.   Notarized certification by surveyor:
   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.
      State of Ohio )                                                                                    
      Medina County )                     Registered Surveyor
               ss
   Before me, a Notary Public, in and for said County and State, personally appeared the above named                                         , who acknowledged the foregoing certificate to be his free act and deed. In testimony whereof I have hereunto set my hand and affixed my official seal at                               , Ohio, this                      day of                          , 20           .
                                                                                                   
                                       Notary Public
   3.   Approval statements:
   Approved by the Wadsworth City Planning Commission this                            day of
                              , 20         .
                                                                                                   
                                       Chairman
                                                                                                   
                                       Secretary
This plat was duly accepted by Ordinance of the Wadsworth City Council this                    day of                     , 20     .
                                                                                                                                  
               Clerk                           President
   Approved by the Wadsworth City Engineer this                            day of
                              , 20      .
                                                                                                   
                                       City Engineer
      Received for transfer this                     day of                               , 20        .
                                                                                               
                                 Tax Map Draftsman
      Received for transfer this                      day of                                , 20     .
                                                                                               
                                 County Auditor
      Received for recording this                     day of                                , 20       .
                                                                                                           
                              Recorder
Recorded this                     day of                               , 20       , at                                A.M., P.M. in Official Record                                       .
(‘65 Code, Part Thirteen, Appendix I) (Am. Ord. 08-026, passed 6-3-08)