§ 155.105 REQUIREMENT STATEMENTS.
   The following statements shall be affixed on the subdivision plat:
Situated in Section                        Township,                 Range,                County,                 Ohio, Containing                        acres in the same tract as conveyed to                        and described in the deed recorded in Deed Book                            County, Ohio.
The undersigned                                         hereby certify that the attached plat correctly represents their                                   , a subdivision of lots                to                         inclusive, do hereby accept this plat of same and dedicate to public (private) use as such all or parts of the roads, boulevards, cul-de-sacs, parks, planting strips, and the like, shown herein and not heretofore dedicated.
The undersigned further agrees that any use of improvements made on this land shall be in conformity with all existing valid zoning, platting, health, or other lawful rules and regulations including the applicable off-street parking and loading requirements of                        City (Village, County), Ohio, for the benefit of himself and all other subsequent owners or assigns taking title from, under, or through the undersigned.
In Witness thereof                                            day of           , 19    .
Witness                                                    Signed                                             
                                                                                                      
We do hereby certify that we have surveyed the premises and prepared the attached plat and that said plat is correct.
                           By                                                
STATE OF OHIO
CITY (VILLAGE, COUNTY) of                              
Before me a Notary Public in and for said City (Village, County) personally came                     who acknowledge the signing of the foregoing instrument to be their voluntary act and deed for the purposes therein expressed.
In witness whereof I have hereunto set my hand and affixed my official seal this                    , 19     .
                           By                                                  
(Ord. 20-89, passed 6-28-89)