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<br />Hold Recorded copy for: Board of Public Works
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE 2019-10551
<br />AND ACKNOWLEDGMENT OF MISCELLANOUS CITY FEES RECORDED AS PRESENTED ON
<br />l" 1/2019 11:15 AM
<br />In csattsidiaatlflt�an for permission to tap into the municipal utility system (uratd�,a °altd7alr sewer) ofthe city t�sl ;nuutj7��1
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<br />Indiana in order to provide sanitary sewer and/or water service to the following described property, (Itt rain a9"ter Arm ETH WISNIEwsKI
<br />to as the "Real Estate"), situated in St. Joseph County, Indiana. ST. JOSEPH COUNTY
<br />Property Owner 1 'u"u"ESTVIEW CAPITA LLC RECORDER
<br />... ...._. _M __ _ -----
<br />S': 1 FEES: 25.00
<br />Property Address 20304 Kiefer Wa South Bend IN
<br />Tax ID/Key # 002-1004-008051
<br />Property Description Lot 36 Laurel Creek Sec 4 19/20 NP #1160 6/13/18
<br />Mailing Address 2186 E Centre St, Portage, MI 49002
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<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 ofconveyance 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 Signalum '
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<br />Property Owner (Print Name)
<br />1 hetew J, Doran, Member %+y %
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<br />Date:
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<br />Hof'ore rn �, i Nom? 110he in and for said V oomy and Sl tle„ Personally 0, 4
<br />aappe ta.tl and he acknowledged the execuul'ion of the finegoing t,omerit to
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