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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 I Kai tl yn McDonald
<br />Property Address SM72 E Mars a or. , Sout Ben In ana 4 28
<br />Tax ID/Key # 621-1638-0 2-614
<br />Property Description west Point Estates Lot 13
<br />Mailing Address 53972 E Marshall Dr.,, South Bend„ Indiana 46629
<br />11A'rE11 Sih�"i"1''1,
<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
<br />and accepts the Owner's obligation to pay a wastewater and water system development charge based on expected usage.
<br />Further, the Owner acknowledges and agrees to pay the applicable surcharge established under Chapter 17, Article 10,
<br />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 />BOARD OF PUBLIE 14 t")t1 tS
<br />AI''6" O .+WL
<br />(PropertyLbwner I Signature)
<br />Gary A (`rtlot, President
<br />Kaitlyn McDonald
<br />Property Owner (Print Name)
<br />e E. Miller, Nle"rolacf,
<br />("nellt"'1`11&
<br />1��
<br />k ta,tttic11 A Mwiathk, h eruhii
<br />W
<br />°k Mares 7¢trau, � ,uoyR�et
<br />rN'CAO'Sulliviin,
<br />8/19/2019
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<br />A
<br />IJtttv'.
<br />Date:. At 2l 0 l
<br />STATE OF INDIANA j
<br />) ss: -STEPHANIE LA 'LUYZE
<br />COUNTY OF ST JOSEPH } Seat
<br />Public int j
<br />and for said County and 8'
<br />appeared
<br />Annexation as"fits voh ntary�ctt d deed �t�b � � and he acknowledged the execution of the foregoing t rrnwetttl 1te afy Public ' State of Indiana
<br />St Joseph County
<br />Q� My Commission Ex Tres Dec 3 2p
<br />l"& Nl.: S ntyhand and Notarial Seat this O Day ofS, �Iq p
<br />(Signature)
<br />C
<br />A resident of "01,
<br />(Printed Name) My Commission Expires:
<br />L.aI'Jurnk..taaJu.Dltt.uartrMddi .fer,peritta^.1
<br />1'his umbuadmAut 1N13m.+l�'.ill_o taAaaattz'. L""+' r " rsi i�tw 9latilt1wtlJ . ,h 41t.AZa�gi.Ft tm� (�F.(�1,.
<br />V 1.8.19
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