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4 � � �` IIlIIIIIIII1111111111111lIIII <br />t <br />8085798 <br />Tx:4053536 <br />-- 1814157 <br />RECORDED AS PRESENTED ONHold Recorded copy for: Board of Public Works <br />oe/s.z(zoas oz:sa PM <br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATEMARY BETH wrSNaEWSs U <br />AND ACKNOWLEDGMENT OF MISCELLANOUS CITY FEES ST. 30SEPH COUNTY <br />RECORDER <br />In consideration for permission to tap into the municipal utility system (water and/or sewer) of the city o�cS9?rida5.00 <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 MILLER FAMILY IRREVOCABLE TRUST MALCOLM J TUESLEY TRUSTEE <br />Property Address 52694 East Trail, South Bend, IN <br />Tax ID/Key # 021-1036-059314 <br />Property Description Lot 447 Fox Run Sec 7 Pt 4 NP#8812 9-15-05 <br />Mailing Address 806 Greenpine Ct, Mishawaka, IN 46545 <br />L✓l WATER Ld 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 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) 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 I Signature) <br />�e.t1 ✓rS D, IY1r/1-ev <br />Property Owner (Print Name) <br />Date: <br />BOARD OF PUBLIC WORKS <br />Gary A_ Gilot, President <br />Suzanna Ftijtzberg, Mem er <br />Elizabeth A. Maradik, Member <br />Therese J. Dorau, Member <br />James A. Mueller, Member <br />Date: G / /a/pQ ( g <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF ST JOSEPH ) <br />Before me, a Notary Public in and for said County and State, personally <br />appeared AVV% �N 1 i �i'Q ✓ and he acknowledged the execution of the fore oin; onsext -- <br />Annexation as his voluntary act and deed. Vt �q ERIN L KRAUS <br />FITNESS n Notarial Seal this Day of � Y 1 2018_ Notary Public.- Seal <br />I ��A� J �— state of Indiana <br />""y Commission Expires Oct 24, 2018 <br />(Signatures) <br />Eycrn J'UA A resident of } *Ly �t C (/ <br />(Printed Name) My Commission Expires: �r�t('-i�s <br />I affirm under the aanalties for aenurv. that t have takty en reasonable care to redact each Social Security number in this document unless required by taw: <br />This instrument was orenared by Aladean DeRose CiAttorney I.) County -City Building, South Bend, Indiana 46601. <br />