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- <br />07928 <br />nMOIFkILryk:.D AS PRE5ENTE.) ON <br />03/2412020 0101 PM <br />MARY SETH kwtflC:SNIEW6 15IKI <br />RJECGREHER <br />P <br />—o Hold Recorded copy for: Board of Public Works <br />Lo <br />1aEEs:25,00 <br />.—o <br />CONSENT TO ANNEXATION, WAIVER OF RlGH" I TO REMONSTRATE <br />a 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 ink, Joseph County, Indiana. <br />Property Owner 1 <br />Property Address <br />Tax IDIKey # <br />Property Description <br />Mailing Address <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 Chad any deeds, contracts,. or other instruments o°f conveyance trade 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 oftheSouth 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 mce, vendee, or contract purchaser and their successors in title. <br />BOARD OF PUBLIC WORKS <br />w APPROVAL <br />Properly { <br />Date; <br />Gary A. Gilot, President <br />Jordan <br />---- J, Dorau, Member <br />Jroscpia R. McaD,nar, Mrntber <br />r' <br />Date: , ? c ,' tW <br />STATE OF INDIANA ) <br />COUNTY OF ST JOSEPH � SS: <br />Before me APubli t <br />appeared <br />as and for said County and State, personally <br />a otaty <br />s — � � _ o,4� vend he acknowledged the execution of tbo fore >oin Conserrit to <br />his voluntary act and deed. <br />WI ; S my hand and otarial this JULIA ANN BANS <br />`5— _Day of Seal <br />Notary Public - State of Indiana <br />St Joseph County <br />�(sig"an,re/l1 �MY Cnmmission Expires Mar 1, 2024 <br />A resident of J Q o <br />(Printed Name) My Commission Expires: 'e <br />t • t'tirr uvitte kor <�na 90D�LT1'L ery ixrart aACreaanac@',,yf�'Wtra�rA.�a.� <br />PA4c..+ .YeA5 rstPtr47mYI.. 1[7..,�0 .oft'vpnty�_GOC..'l,.dty F3hu0ti d�2Fe=r .. roaiGh �B%yflc.iuL� lEa0.7°2a€Q,.1.9.li:'.C,t(�1.1.3',d.9,WbIL1"CLPIITk4}]i_ <br />V <br />1.8.19 <br />