8 125252_
<br />2019-1sS6 rx:4077868
<br />RECORDED AS PRESENTED ON
<br />05/14/2019 11:15 AM
<br />9r ARY SE°r Fb Id ZSNIEwSKr
<br />Hold Recorded copy for: Board of Public WoF,4qy x ,,rr, COUNTY
<br />CONSENT TO ANNEXATft91sPR4VER OF RIGHT TO REMONSTRATE
<br />AND ACKNOWL�°r ITPF WDOIISCELLANOUS 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 1 MAXWELL ANDREW & KERI
<br />Property Address 20178 Jackson Rd., South Bend IN 46614
<br />Tax ID/Key# 001-1029-0677
<br />Property Description W 112 Of Lot 26 Jewells Dixie Gardens In Ne Nw Sec. 36-37-2e
<br />Mailing Address 20178 Jackson Rd.,South BendIN 46614
<br />WATER ^✓ SF.iir"H3I*;
<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
<br />acknowledges and accepts the Owner's obligation to pay a wastewater and water system development charge based
<br />on expected usage. Further, the Owner acknowledges and agrees to pay the applicable surcharge established under
<br />Chapter 17, Article 10, Section 17-81 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 />Ya�
<br />ropert Owner I _ ignature)
<br />O'N..-1Ct�40((
<br />operty Owner (Print Name)
<br />-3 _/ i
<br />BOARD OF PUBLIC WORKS APPROVAL
<br />Gary A. GiI c, President
<br />Genevicv r i'. Miller Mcni er
<br />Maradik, Member
<br />`I'Iter�^�,7J. Dctrau, emkr��
<br />Laura L.. O'Sulbvan, Member
<br />Date:
<br />STATE OF INDIANA )
<br />) SS:
<br />COUNTY OF ST JOSEPH )
<br />Before me a p� Notary Public in and for said County and State, personally
<br />appeared tR 4 a —A + �• i a and he acknowledged the execution of the foregoing Consent to
<br />Annexation as his voluntary act and deed. 901cl
<br />Y Day ofn A r 1 NESS m hand and Notarial Seat/ his _www
<br />(Signature) p pp
<br />C #°� 0 (N e c A resident of .
<br />zenuexi Nunrc) My Commission Expires:
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<br />V 1.8.19
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