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<br />BETH
<br />Tx:4046662 1, .10SEPH COUN TY
<br />Hold Recorded copy for. Board of Public Works
<br />CONSENTTO ANNEXATION, WAIVER OF Rfc.)HTTO REMONSTRATE
<br />AND ACKNOWLEDGMENI'OlMISCELLANOtJS CITY FEES (ILCORDER
<br />11GS: 1 FIELS: 2500
<br />In consideration for permission to tap into the tounicipal utility systern (water and/or sewer) of the city of South Bend,
<br />Indiana, in order to provide sanitary sewer and/or water service to the following described property, (hereinafter referred
<br />to as the "Real Estate"), situated in St. Joseph County, Indiana.
<br />Property Owner I Century Builders, LLC
<br />Property Address
<br />"fax ID/Key 4 002-1014-0273
<br />Property Description NIL. sgcjs, -r&,A,k4 CLA?-T5WtJSfllP
<br />Mailing Address 314 W, Catalpa Drive, Suite F, Mishawaka, IN 46545
<br />[Z] WATER ✓ SEWER
<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 ofthe Real Estate by the City of South Bead.
<br />In further consideration and to induce the City of South Bend W allow Owner to tap into the municipal utilities (sewer and/or
<br />water) of tire City of South Bend, Owner, for thentselves 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 it any future time by duly
<br />authorized ordinance.
<br />Owner further agrees that any deeds, contracts, or other instruments ofconvcyance orade by Owner, their successors or assigns
<br />shall contain the waiver and release provisions contained herein, which provisions shall run with the land.
<br />Pursuant to Chapter 17, Article I0, Sections 17-79 and 17.80 of the South Bond Municipal Code, Owner acknowledges and
<br />accepts the Owner's obl igation to pay a wastewater and water system development charge based on expected usage. Further,
<br />the Owner acknowledges and agrees to pay the applicable surcharge established under Chapter 17, Article 10, Section 17-81
<br />for wastewater service.
<br />The delivery of any instrument of conveyance 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 of the foregoingprovisions
<br />by said grantee, vendee, or contract purchaser and their successors in title.
<br />Therese J. Dorau, Member
<br />James A. Muciler, Member
<br />Date, ). 04-tg' Date:
<br />STATE OF INDIANA
<br />)SS1
<br />COUNTY OF ST JOSEPH )
<br />Before me, a Notary Public in and for said County and Stale, PCPS011111y
<br />appeared J14Y.-a; Z,, S,�rm r,� JVand lie acknowledged the execution of the foregoing Consent to
<br />Annexation as his voluntary act and deed.
<br />Wl' miy
<br />hand and Notarial Seat this Day of 201�
<br />(8i gnalme)
<br />Le�� Co A resillcin of
<br />(Printed Name) My corrullisgain Expires:
<br />I affirm, under the penalties for indu y—that .1 have taken reasonable care to redact each Social Security mmLgr in this document unless requircd b law.
<br />CONNY S. NiCHOLS
<br />S
<br />Notary Public - Seal
<br />State of Indiana
<br />Marshall County
<br />Commission
<br />x
<br />MY ConimExpires Dec 4, 202,2
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