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2019 15
<br />RFcotaom:o AS Ptew.sEmsTir.=rr ON
<br />1 2J2� 0
<br />D5114/2019 11:15 AM
<br />Tx:40gry853
<br />MARY By-FH M7ShYLASKY
<br />s1r. :BCb"aEPH COUNTY
<br />F:t.a ORDER
<br />Hold Recorded copy for: Board of Public Worlds; I FEES: 25.00
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE
<br />AND ACKNOWLEDGMENT OF MISCELLANOUS 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 Nuaent Builders
<br />Property Address 18463 Forest Glade, South Bend, IN
<br />Tax ID/Key # 002-1014-0305
<br />Property Description Lot 76 Bradford Shores at Knollwood Sec 3 17/18NP#4636 11-17-2016
<br />Mailing Address 14770 Lindy Dr Granger, IN 46530
<br />[?1 WATER R3 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 1 Signature)
<br />.J a :SZ a k4 T- I .A ��,5
<br />Property Owner (Print Name)
<br />Date. R Q r I' I Q "'I an La
<br />BOARD OF PUBLIC WORKS
<br />APPROVA .
<br />Gary A. Gilot, PreSident
<br />t:Ct�Vt'��dp�. �V '^ Meluberl
<br />Uzab t A. yrlarat ik, Mernber�
<br />The e, 1. Doran„ Meta
<br />r
<br />Date; 1
<br />STATE OF INDIANA )
<br />) SS:
<br />C.OUN"TY'.OFSTJOSEPH )
<br />Before cite a Notary Public in and for said County and State, personally
<br />appeared _ � ...Tcu. .. _ ........, and he acknowledged the execution of the foregoing Consent to
<br />Ancn°xadoac, a hr, vol nrary act and deed.
<br />FS v'oflariaG S I this, r a Day of,_.._ _......._ 2017. my Ytan and
<br />w 'itl °' cA s L" i si¢�turml
<br />�+p r I° o r" NR„wi cz A resident af a
<br />(P rinuxl. Name) My Commission Expires: M� „
<br />n t 7,fl„lyr..11ye nalgte.s: Ptar ceyusy, t4saa 1 /rave tukgn ra-nable-. ease In redact each Social "wccurigynumber hn this docu cscan unicss rare gi!Vd h law:
<br />`r,his Gnstruincnt Ivas Prepared hw Alatk`4" C:iyvl%gr, 'e:Y....12.fi(� <m.„altrra;IX.; (,.„tlyr tiI?�,�u,,'Sa1utP1„H.%an,_„�,,,Pr��ati,Lroa 46601.
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