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11111111111111111dill <br />Hold Recorded copy for: Board of Public Works <br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE <br />AND ACKNOWLEDGMENT OF CITY COMPACT FEES <br />In consideration for permission to tap into the municipal utility system (water and/or sewer) of the city of South Bend, <br />Indiana, in order to provide sanitary sewer and/or water service to the followma described orooerty. thereinafter refer,vd <br />to as the "Real Estate") <br />Property Owner 1 <br />Property Address <br />Key # <br />Property Description <br />Mailing Address <br />-Ai jq;, - r34Y sfl,+0 4f3ti <br />to -tV (2. <br />owner(s) of the Real Estate, (hereinafter "Owner"), for themselves and their successors in title, assigns, and personal <br />representatives, hereby irrevocably waive and release any and all right which they may now or hereafter have to remonstrate <br />against or otherwise interfere with, or oppose any pending or future annexation of the Real Estate by the City of South Bend. <br />In further consideration and to induce the City of South Bend to allow Owner to tap into the municipal utilities (sewer and/or <br />water) ofthe City of South Bend, Owner, for themselves and their successors and assigns, agrees and stipulates irrevocably to <br />vest in the City of South Bend the permanent right, at the City's discretion, to annex the Real Estate at any future time by duly <br />authorized ordinance. <br />Owner further agrees that any deeds, contracts, or other instruments of conveyance made by Owner, their successors or assigns <br />shall contain the waiver and release provisions contained herein, which provisions shall rur with the land. <br />Pursuant to Chapter 17, Article 10, Section 17-86 ofthe South Bend Municipal Code, Owner further acknowledges and accepts <br />the Owner's obligation to pay a compact fee annually to the City of South Bend which for one municipal utility (water or <br />sewer) is 30%ofthe difference between the County and City effective property tax and for both municipal utilities (water and <br />sewer) is 50% ofsuch property tax differential, which rates are set forth in the St. Joseph County Auditor's annually published <br />"Notice of St Joseph County Certified Tax Rates". <br />The delivery of any instrument ofconveyanoe from the Owner to any successor, grantee, vendee or contract purchaser is subject <br />to the terms of this document and the acceptance of such instrument shall constitute an acceptance ofthe foregoing provisions <br />by said grantee, vendee, or contract purchaser and their successors in title. <br />BOARD OF PUBLIC WORKS <br />O- <br />(Property Owner 1 Signature) <br />Property Owner (Print Name) <br />Cn]Endrm A Manaus, Member <br />,9 <br />in <br />Therese J. Ibmu, Member <br />0 <br />T y V 00 <br />m 0 m IA <br />w 10 <br />" P O I' D Q1 <br />m'oo m N <br />James A. Mulder, Member <br />TO <br />0 v 0 '- <br />m p xm v O <br />o n 0 m <br />O O n+ N 1iJ <br />Date: <br />iowi F+ <br />Z <br />Date: <br />3 v <br />0 <br />z <br />STATE OF INDIANA ) <br />SS: <br />COUNTY OF ST JOSEPH ) <br />Before me, a Notary Public <br />appeared �Qr'\-�1 P[�YC�t)mt) <br />in and for said County and State, personally <br />Y\ <br />and he acknowledged the executive ofthe foregoing Comentto <br />Annexation as his voluntary ad and deed. <br />WITNESS my hand and Notadal Seal this <br />22 Day of J U' `2016. <br />tsiigvdo <br />eU jC Lk <br />A resident of <br />(Primed Nerve) <br />My Commission Expires: 011e15 U a •i <br />JESSICA KWIATKOWSKI, <br />Molloy Public <br />A Resident of St. Joseph emunry, IN <br />C"aftm No. 678M <br />* commission FJlpiles 01/25=4 <br />