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<br />lx�4101807
<br />Hold Recorded copy for: Board of Public Works
<br />2020-05226
<br />*RECORDED AS PRESENTED ON
<br />02/25/2020 12:52 PM
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRAARY SETN WISAREWSKI
<br />AND ACKNOWLEDGMENT OF MISCELLANOUS CITY FEES ST. IOSEPH COUNTY
<br />REC'ORDER
<br />In consideration for Permission to tap into the municipal utility system (water and/or sewer) of the city M&VjE8eAfi,00
<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 ?X1
<br />Property Address
<br />Tax ID/Key #
<br />Property Description Mailing Address
<br />4 ic,, j 7— t(", L 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 hercallcr have to remonstrate
<br />against or otherwise interfere with, or oppose any
<br />pending or future annexation ofthe Real Estate by the City of South Bond.
<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 OfSoull Bend, Owner, for themselves and their Successors; and assigns, agrees and stipulates irrevocably to
<br />vest "I the City Of South. Bend the permanent right, at the Cily's discrelfon, 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 OfQ01INCYance Inner by Owner, their successors or assigns
<br />shall contain the waiver and release provisions contained herein, which provisions shall TV,, 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 />to the terms ofthis document and the acceptance ofsuch instrument shall consti
<br />The delivery ofany instrument Ofconveyance from the Owner to any successor, grantee, vendee or contract purchaser issubjeet
<br />by said grantee, vendee, or contract Purchaser and their successors in title. rule an acceptance ofthe foregoing provisions
<br />(Property Owner I sign.;urcj
<br />Ai e �11e, i
<br />PmPcOY Owner (Pdnl N—C)
<br />sull
<br />BOARD OF PUBLIC WORKS APPROVAL
<br />I �AG t
<br />'ltV
<br />Je; omhcr
<br />Member
<br />fA
<br />Dale;
<br />Date:
<br />STATE OF INDIANA
<br />COUNTY OF ST JOSEPH j
<br />SS:
<br />Before me, a Nonary Public I. and for
<br />appemd_tA1,n-,o.,.s b said County and
<br />and he acknowledged State, personally
<br />Annexation , his 'Zatli; aet and deed. the "motion of the foregoing Consent to
<br />W N ES I �my
<br />' taujai Seat th, Nolareal Seal �,12�
<br />Day of -4fA-j—,2R<
<br />A-
<br />A resident of
<br />(Printed Ninon) My Commission Expires:
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<br />21d tnA RAYL—Mnroqwrm
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