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RDED R762
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<br />RECORDED
<br />EDAtq
<br />4 6 3 d. 07/2:312Dt9 12+26 PM
<br />Tx.: 40183540 MAkY BETH WWrSNIEWWSW:T!
<br />n.ECORDER
<br />PGSc II IFEM 25.00
<br />Hold Recorded copy for: Board of Public Works
<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 THOMPSON, STEVEN
<br />Property Address 17788 SR 23, South Bend, IN 46635
<br />Tax ID/Key # 002-2118-5787
<br />Property Description Lot 18 Wilmette Park Sec 32-38-3e Ex Strip Sold To State For Right -Of Way On In 23 N End
<br />Mailing Address
<br />✓ WATER 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
<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 />(Property Owner 1 .. ignature)
<br />S�''i'lftfh �b+-v�IPS01'1
<br />Property Owner (Print ame)
<br />Date,:, 0- 0a e'al C)
<br />BOARD OF PUBLIC WORKS, 1'1' WAL
<br />GaryA. Q ot, President
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<br />a¢�enevievc F Moll"Mem
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<br />Ehzabz1h A. Mara ik, .Wmob4n,
<br />�11&&o,wDwau,',111 "ec
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<br />Date: -7/`Z 3 ! d 0/
<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 4wysi ff ?!k P" LY N .. C and he acknowledged the execution of the foregoing Consent to
<br />Annexation as his voluntary act and deed.
<br />wJ1 .�—
<br />wl"rNES Nptarial So this...._� _ .,_...... Day of...._3. t'Y........._20119
<br />(,Signawre)
<br />AO�/ /RofAN`fu£� Aresident of
<br />ST. aTa.S EPN GOu.y7Y
<br />(Mnted Name) My Commission Expires: ("G± /^ r. �
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<br />`I°IoiM atStiusn att rrnxpa'�,�,,eeWul ix�1l�eis�?gy 1)ults�ti,lV1.Y h.rJ rnev..!'(bI�G.ountvf itg„13u?i�;onp,...�arullt„B�iSf-4n.514�:ws ?Afa(ifl i,
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<br />A of St. Joseph County, IN
<br />✓' No. t�137 V 1.8.19
<br />* E>�ire,410/15/2020
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