Consent to Annexation - 53453 Old Woodbridge Ct.

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UUNSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE AND ACKNOWLEDGMENT OF MISCELLANOUS CITY FEES In consideration for permission to tap into the municipal utility system (water and/or sewer) of the city of South Bend, Indiana, in order to provide sanitary sewer and/or water service to the following described property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph County, Indiana. Property Owner 1 Property Address Tax ID/Key # Property Description Mailing Address owvnl of the Heal Estate, (hercinatler '-Owner"), For thetnselwres arid their successors in title, asSigns, and hers againsettr otherwise heir interfere irrevocably waive and release any and all right. which they may rtow or hereafter have to rt,ntons against or othrrwlsr interl rc with„ or oppose any ltenaltng or° future anncxation of the heal Estate by the City of Soutlt lie. In further consideration and to induce the City of South Bend to allow Owner to tap into the municipal utihlies (sewer an water) of the City of"South Bend, Owner, for thernselves and their successors and assigns„ agrees and stipulates irrevocabi vest in the City of South Bend the permatrent right„ at the Cit,y's discretion, to annex the Heal Estate at any future: time by c authorized ordinance. Owner further agrees that any deeds„ contracts, or rather instruments ofconveyance nlade by Owner, their successors or assi shall contain the waiver and release provisions contained herein„ which provisions, shall run with the land. Pursuant to Chapter 17, Article 10, Sections 17-79' and 17-80 Of the South Bend Municipal Code, owl acknowledges and accepts the Owner's obligation, to pay a Wastewater and. Water system development charge bw rrrr expected usage. Further, the Owner acknowledges and agrees rO pay the applicable surcharge established une Chapter '17, Article 10, Section '1'7-81 for Wastewater service,. The delivery of any instrument ofconveyance front the Owner to arty successor, grantee, vendee or contract purchaser is sub c to the tcNns ofthis document and the acceptance of such instroment shall constitute an acceptance of the foregoing, provisirs try' said grantee„ vendee, err contract purchaser and their successors in title. J BOARD OF PUBLIC WORKS APPROVAL Y(Pr"Oy O vner Signature) Ga A. Gilo ��, � p � rY t, President Property Owner (Print Name) ,Guoevle L E. Miller, Pil l:'lrrabeth A. Maradik, Nlember Thr cres J. Dor etnber Laura L. O'Sullivan, Memher Dater.&& O� y / % — -- — Date: / 2-/ / - / Z 1 / 7 STATE OF INDIANA COUNTY OF ST JOSEPH � SS: Before me, Notar Public to and for said appeared „% County and State, personally Annexation as his voluntary act and deed. t and he acknowledged the execution of the foregoing Consent to ITSS my hand a Noriat Seal thisoZ p �t ( Day of t..t .. 20+8; P �w�rtarCtaret Aresident of (Printed Name) My Commission Expires: .,ffi�r a°k. tinder CIeeR„ r* �7 law: