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<br />Hold Recorded copy for: Board of Public Works
<br />2020-06741
<br />RECORDED AS PRESENTED ON
<br />03/10/2020 02.:22 PM
<br />MARY BETH WISNIEWSKI
<br />Si. 7OSEPH COUNTY
<br />RECORDER
<br />PGS: 1 FEES: 25.0o
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE
<br />AND ACKNOWLEDGMENT OF MISCELLANOUS CITY FEES
<br />In consideration for permission to tad) into the municipal utility system (water tlnd/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 ill St. Joseph County, Indiana.
<br />Property Owner 1
<br />Property Address
<br />Tax ID/Key #
<br />Property Description
<br />Mailing Address
<br />v 1 ®3.7
<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 ofconveyance made by Owner, their successors or assigns
<br />shall contain trite 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 />Pro ( perry Owner 1 Signature)
<br />rOPCn),Owner (Print Name)
<br />Date: r [ a ),c ! a'� 2-w--c
<br />BOARD OF PUBLIC WORKS
<br />AP['�i0 A1, j
<br />Gary A. Gilot, President
<br />Jor j ttt V Gathers, Ment or1. eth A. Ma hk Merrt¢hc;r
<br />Therese J, Dorau, Me tr
<br />R Molnar, Member
<br />Date: c G0
<br />STATE OF INDIANA )
<br />SS:
<br />COUNTY OF ST JOSEPH )
<br />Before me, a Notary Public in and for said
<br />appeared ..) ��
<br />nd he acknowledged the ew
<br />Annexation as his voluntary and deed. NES n hand an 'olarial Seal thi Day ofj&r chh
<br />w f,Si!°,nrzNa¢r�y
<br />A resident of
<br />(Printed Name)
<br />My Commission Expires:
<br />Notary Public
<br />A Resident of St Joseph County, IN
<br />Commission No. 684431
<br />My Commission Expires 04/28/2024
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<br />V 1.8.19
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