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p,F coRE)n AS PRESENTED ON
<br />4(3/28 12019 c9,56 Am 8 0 7 ra 3 9 9
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<br />ARY PETH isNIEWSKI
<br />Tx:4047827
<br />ST..IGSEPH COUNTY A ECORDER
<br />Hold Recorded copy for: Board of Public Works PGS: 1 FEES: 25.00
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE
<br />AND ACKNOWLEDGMENT OF NUSCELLANOUS CITY 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 following described property, (hereinafter referred
<br />to as the "Real Estate"), situated in St. Joseph County, Indiana.
<br />Property Owner I Jim and Cris Milliken
<br />Property Address 26831 S MARSHALL DR, SOUTH BEND, IN 46628
<br />Tax ID/Key 4 021-1038-062626
<br />Property Description West Pointe Estates Sec One Lot 43
<br />Mailing Address 26802 Early Rd, South Bend, IN 46628
<br />Ll WATER 1/1 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 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) of the 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 run with the land.
<br />Pursuant to Chapter 17, Article 10, Sections 17-79 and 17-80 of the South Bend Municipal Code, Owner acknowledges and
<br />accepts the Owner's obligation 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 foregoing provisions
<br />by said grantee, vendee, or contract purchaser and their successors in title.
<br />(Property Owner 1 Signature)
<br />L U ke
<br />Property Owner (Print Name)
<br />Date; -3 Py—lf;
<br />BOARD OF PUBLIC WORKS
<br />Therese J. Doran, Member U
<br />James A. Mueller, Member
<br />74,-, � [<
<br />Date:
<br />STATE OF INDIANA
<br />) SS:
<br />COUNTY OF ST JOSEPH )
<br />Before me, a N t Public in
<br />and for said County and State, personally
<br />ry
<br />appeared Mkj�j n
<br />. ........ ..... .
<br />and he acknowledged the execution of the foregoing Consent to
<br />Annexation as his voluntary act and deed.
<br />h71�d this 4-,
<br />Day 2g18.
<br />WS 7
<br />�.S
<br />of
<br />0 (Si tore)
<br />Lbi . . . ......�I
<br />A resident of
<br />(Printed Name)
<br />My Commission Expires: 1143,
<br />I affinn, under the penalties for perimy, that I have taken reUgnable
<br />care to redact each Social Security number in this document untess required by law,
<br />This instrument was prepared by Aladcan DeRose, City Attorney. ➢200 Countv,City Building, South Bend. Indiana 46601.
<br />U161 f 6oil
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