§ 111-269. Dedication certificate.

The parish shall use the following dedication certificate.

KNOW ALL MEN BY THESE PRESENT, that we, the undersigned being the owner(s), mortgagee(s) or lienholder(s) and the only interested parties in those lands described below, have laid out, subdivided and platted the same into lots, blocks, streets, and public ways as shown here or under the name and style of, and do by these presents, grant, dedicate and convey to St. John the Baptist Parish, State of Louisiana, in fee simple, for public use, all streets, public ways and drainage easements and one-foot strip designated as tract(s) for nonroad purposes to St. John the of Louisiana reserved to and for the use of all present and future owners of lots and tracts as shown hereon, for the construction, maintenance and operation of utilities.

LEGAL DESCRIPTION:

SAID PARCEL CONTAINS___________ACRES

In witness whereof___as owner(s), has hereunto caused name to be signed and its corporate seal (if applicable) to be affixed by the undersigned officers, thereunto duly authorized this day of 20___.

All individuals shall sign their names as shown on the deed of ownership, or as shown on deeds of trust, mortgages, liens, etc. Corporation ownership or interest shall be shown by the official signatures of the president and secretary. The full name of the corporation shall be shown above their signatures.

PARISH OF___________

STATE OF LOUISIANA

Subscribed and sworn to before me this_______day of_______, 20___.

By:___________

NOTARY PUBLIC

My commission expires:___________

TITLE COMPANY'S CERTIFICATE:

This title company___________licensed to practice in the State of Louisiana, do hereby certify that we have examined the title to all lands described herein, as shown on said plat, and verify that the title of all such lands is in the owner's name and is free and clear of all liens and encumbrances (and, if pertinent, "except for deed of trust, mortgage, lien and etc., recorded in Book at Page_______, Parish of________ Records".

___________

Signature of responsible official of title company

(Code 1988, § 27:302 (app. A))