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�1 <br />f <br />Hold for: South Bend Board of Public works <br />Room 1306, County -City Building <br />South Bend, Indiana 46601��xMt;_ <br />CONSENT TO ANNEXATION <br />t_..:.. WAIVER or RIGHT TO REMONSTRATE <br />rIn 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 . S Coss f ct <br />S4- rr <br />GL fj <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 <br />successor, grantee, vendee or contract purchaser is subject to the <br />document and the acceptance of such instrument shall constitute <br />of the foregoing provisions by said grantee, vendee, or contract <br />their successors in title. <br />I.' <br />a- <br />l: <br />co <br />u_"7- <br />�� <br />Owner to any <br />terms of this <br />an acceptance <br />purchaser and <br />APPROVED <br />Board of 1'u1�1ic Works By. <br />STATE OF INDIANA SZ-3 <br />) SS: 1 <br />COUNTY OF ST . JOSEPH ) ���� }�� �� , 1/ ��a �CI <br />a Notary - ubflic in 'and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THATl�lr7 <br />personally known to me to be the same person whose name i 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 />MY Commission Expires: <br />NOTARY PUBLIC 5fATE OFINM AN <br />!iF-105EPH COUNTY <br />�Myi(�OMPAAPTJA, repared by <br />County -City Building, South Bend, <br />C:\dots\Consont.frm <br />-r1. cL-.1. Gc+a .1 't 1, L� the S�__ day or <br />v_ •-,}... �, ''•,mot <br />Anne Bruneel, Assi-sfa•nt' ii)y r i�t4trney, <br />IN 46601. <br />1400 <br />