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Hold for: South Bend Board of Public Works <br />Room 1308, County -City Building <br />South Bend, Indiana 46601 <br />`3��249 i <br />CONSENT TO ANNEXATION A2M <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. 05 !O .35 <br />toi .3 <br />/wa P t'? l NOR <br />w sr� E OF Mlrnx -T <br />:5 c .Z J - 37 2 9 <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 />off the f-oregoing provisions <br />';their ccessgrs 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 />`7 aBond APPRO�jED <br />- — - - of Public W-r <br />Print <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF ST. JOSEPH ) <br />By: ((L. <br />i�L fir_ �J-t,-J ('. , <br />Name : %' l� /d i� 5 ,U. si S f o <br />>L <br />I -S .- <br />I, Mr-k-le_ C; es?D , a Notary public in and for said county, in <br />the state afor said, DO HEREBY CERTIFY THAT C1nc,rle5 tom. S:Sco a—C, S,sco <br />personally known to me to be the same person whose name is 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 seal this the day of <br />199 (10 . <br />My Commission Expires: <br />This instrument was <br />County -City Building, <br />C:\dots\Consent.frm <br />prepared by Anne Brunei <br />South Bend, IN 46601. <br />I <br />0 <br />