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r <br />'Ho _ for <br />South Bend Board of Public Works <br />Room 1308, Coun y-City Building <br />South Bend, Tndiana 46601 !JG 111.%� <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 />DS Io�S o �-�720� <br />Key Nos. <br />LK tt t i A <br />r to <br />L <br />APPROVED <br />Board of Public Works`-�� <br />m y. �= <br />r• i <br />_r - <br />;1 L j8 6 /J � �. <br />� � J !` <br />l �\ CT9 <br />owner of the Real Estate (her self and its successors <br />in title and assigns, waives and ele ses 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 />By <br />Print Name:c7��� /��•�1; ��5 sj�. <br />i <br />STATE OF INDIANA } 6q 4 4 3 0 <br />) SS: ����7(, <br />COUNTY OF ST. JOSEPH ) . SoUA l�GV\A i � �t'io�o LA <br />a Notary public in and for aid county, in <br />the stag aforOsaicl, no aEREE]G CERZ2FY mxAa /, �;,.�n_ 4 <br />pezSOnally Known to m� to b0 'the sasn� pc.sson whose .�m� so �.�y;,Gx.cv�.-d co ttzc <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 /saal this the — - day of <br />199� ^ <br />NUT RY PUBLIC <br />My Commission Expires: <br />JULIE ANN I-[AWKINS <br />NOTARY PUBLIC STATE OF INDIANA ? � �: t {` () j 4 <br />T1,Ny &Fn,1�4 �cunoel, Assistant City A[torno <br />C:\docs\Consont.frm y, 1400 counb;-�, y�Bu ;'di-Agl Sob h;bendf IN 46601. <br />I..IE11.1.0 <br />