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�v <br />Hold for: South Ben Board of �Bucr <br />s F10' Hsi ` <br />Room 1308, i�,N" ,--»-- <br />South Bend, Indiana 46601 961 <br />J11H <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRATE S 1 ''a r 4-F'ri CO, <br />1l1"iAI?/i <br />In consideration for permission to connect to the public waterailn'`bFQgp <br />City of south Bend, Indiana, to provide water service to the following described <br />�f•. iproperty, (hereinafter referred to as the "Real Estate"), situated in St. Joseph <br />County, Indiana: <br />Key Nos. Cj`� jG35 CU`�LZCf <br />v T _2 <br />owner of the Real Estate, (hereinafter "Owner"), for itself and its successors <br />in title and assigns, waives and releases any and all right which it may now or <br />hereafter have to remonstrate against or otherwise object to, interfere with, <br />or oppose any pending or future annexation of the Real Estate by the City of <br />South Bend. <br />In further consideration and to induce the City of South Bend to allow <br />Owner to tap into the public water main of the City of South Bend, Owner, for <br />itself and its successors and assigns, agrees hereby to vest in the City of <br />South Bend the permanent right, at the City's discretion, to annex the Real <br />Estate at any future time by duly authorized ordinance. <br />Owner further agrees that any deeds, contracts, or other instruments of <br />conveyance made by Owner, its successors or assigns shall contain the waiver and <br />release provisions contained herein, which provisions shall run with the land. <br />The delivery of any <br />successor, grantee, vendee o <br />document and the acceptance <br />of the foregoing provisions <br />their successors in title. <br />'AMOVED <br />Board of Public Works <br />STA <br />instrument of conveyance from the Owner to any <br />r contract purchaser is subject to the terms of this <br />of such instrument shall constitute an acceptance <br />by said grantee, vendee, or contract purchaser and <br />By: zm <br />Print Name: �" -1J [J ll �Al � N1 <br />a3o�3 l��.aN� <br />} SS: 50L1;t1\ C jJ �1Ot914' <br />COUNTY OF ST. JOSEPH ) <br />Notary 'n for <br />a ublic <br />nd said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT ir�V <br />t. a N <br />personally known to me to be the same person whode <br />name is subscribed to the <br />foregoing instrument, appeared before me this day <br />in person and acknowledged <br />that they/he/she executed the foregoing instrument <br />as their/his/her free and <br />voluntary act and deed for the issues and purposes <br />therein contained. <br />Given under my hand and official seal this the <br />NOTARY <br />PUBLIC <br />My Commission Expires. <br />This instrument was prepared by Anne Bruneel, Assistant City Attorney, 1400 <br />County -City Building, South Bend, IN 46601. <br />C:\dots\Consont.Erm <br />