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FORMS FOR FINAL PLAT CERTIFICATIONS <br />Form 1 TITLE <br />(name of) <br />Part of original tract <br />Subdivision <br />(municipality) <br />(Cuyahoga County) <br />Form 2 CERTIFICATE OF OtUNERSHIP AND DEDICATION <br />I (we) the undersigned (name lettered) owner(s) of <br />the property shown and described hereon as the <br />subdivision do hereby assent to and adopt this subdivision of the <br />same, and acknowledge that the same was made at our request and do <br />hereby dedicate to public use the street(s) (easements) (parks or <br />other public areas) designated in graphic symbols on this plat. <br />(owner) (signature) (witness) <br />(lettered) <br />U (owner) (signature) <br />(lettered) <br />Form 3 ACKNOWLEDGMENT BY INDIVIDUAL ,(directly below the above certificate) <br />State of Ohio ) <br />County of Cuyahoga ) <br />Before me, a Notary Public in and for said County and State, <br />personally appeared the above who acknowledged that he, (she, or <br />they) did sign the foregoing instrument"and that the same is his ---- <br />(her or their) free act and deed. <br />IN 1VITNESS whereof, I have hereunto set my hand and official <br />seal at this day of <br />(municipality) (state) <br />19 <br />Notary Public <br />My Commission expires <br /> <br />-i- <br />