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`uv <br />1 <br />Hold for: South Bend oard of Public works <br />Room 1308, County- i y Building <br />South Bend, Indiana 46601 <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRATE F <br />In consideration for permission to connect to the public water main of the <br />City of South Bend, Indiana, to provide water service to the following describec�- <br />property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph <br />County, Indiana: <br />9,618482 <br />Key Nos. <br />c <br />CD <br />- CD <br />rr <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 instrument of conveyance from the Owner to any <br />successor, grantee, vendee or contract purchaser is subject to the terms of this <br />document and the acceptance of such instrument shall constitute an acceptance <br />of the foregoing provisions by said grantee, vendee, or contract purchaser and <br />their successors in title. <br />APPROVED <br />Board of Public Works <br />S <br />COUNTY OF ST. JOSEPH } <br />By: <br />Print Name: <br />Scl3o o k W 1 �_ k occb <br />C 1(rq- <br />I, �3�1L1 •J �. 6C, �ci> a "-.-- -.y Fu, _LC; In ana Zor said county, in <br />Lne state aforesaid, DO HEREBY CERTIFY THAT 4,Q 0 Z G <br />personally known to me to be the same person whose name is sub,§,c�±]�&d­,t,o the <br />foregoing instrument. appeared before me this day in person asld`<a`c}cowl.edged <br />that they/he/she executed the foregoing instrument as their%�6�/her. free and <br />voluntary act and deed for the issues and purposes therein-c'.ined. <br />J� <br />Given under my hand and official seal this tYie`'� day. -of <br />-- 199 <br />NOTARY PUBLIC i <br />My Commission Expires: <br />9//,-:3/98 <br />This instrument was prepared by Anne Bruneol, Assistant City Attorney, 1400 County -City Building, South Bend, IN 46601. <br />C:\does\Consent.frm <br />