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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: <br />r <br />,. u sA [aiggr`. Curren„c uvr •rrrra:� ,iar ner a?av;, tiamumi teu. . {.te Barg io c„5, y cuc h,:Snava S,j% ty rrdmna�M,?r'r an.. thds afr+d tim nl mlaB4'p g. rc^+auirea# to+ law: <br />„1.. hy,1",'ry'wsro9.,e(� ,Wv ,c9 py. Al ,,, DOtosws.. C_dY Attutar0_ 200 OOk< tg3t -f..opw l3i,, lure. 5t3ts1Ga 3o;nd 9e,t9i na., fala4'SI . <br />V 1.8.19 <br />