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Hold for: <br />South Bend Board of Public works <br />Room 1306' County -City Building <br />South Bend, Indiana 4660 <br />,.a <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRATE <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 described <br />property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph <br />County, Indiana: <br />Key Nos. 0 l U -5 0Ys 7 0 �% <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 />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: <br />" APPROVED <br />Board of Public Works <br />Name P � 'r)-0/1, �•= N � >• <br />-.. x w <br />C2 <br />�.: =A ti <br />STATE OF INDIANA <br />SS: S/ 336 /1Y)a�Ir"(6coe-1r <br />COUNTY OF ST. JOSEPH ) <br />I' lY a Notary public and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT (� Y <br />personally known to me to be the same person who e name JIY subscribed to the <br />foregoing instrument, appeared before me this day in person and acknowledged <br />that they/he/she executed the foregoing instrument as their/his/her free and <br />voluntary act and deed for the issues and purposes therein contained. <br />Given under my hand and official seam finis the <br />'t 19 9 (E . I day or <br />My Commission Expires: <br />NOTARY PUBLIC SfAATE OF INDIANA <br />MY ccn��tt� ioN EXP. ' <br />This instrument-wad§prepared by <br />County -City Building, South Bend, <br />C:\dots\Consent•rrm <br />Anne Brune el,a'"P:'s;sist4nt� ditt -Attorney, <br />IN 46601. <br />1400 <br />