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Hold for: South Bend Board of Public Works <br />Room 1308, County -City Building <br />South Bend, Indiana 46601 <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. D S O:.'Ar <br />' x <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 />fof the foregoing provisions by said grantee, vendee, or contract purchaser and <br />heil�j4uccessors in title. <br />0 <br />C, <br />vL <br />_ cn � 1 p <br />i.n � -- BOarV �! 1 Q 1,E, <br />;. t _.== �•. :;��,c a If <br />/� � <br />x N 9�ztl&! <br />Print Name: C <br />gq t 72 kkcy �kOL&• y " . <br />STATE OF INDIANA } �w� .� _ . ' } , � � �� `c <br />) S S : �JC�'u�` <br />COUNTY OF ST. JOSEPH ) <br />I. \'e a Notary ublic in and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT <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 s al this the s day of <br />199 <br />OAR P,iJB <br />lk <br />My CpmLslnEssion Expires:- �.� 1.. <br />NOTARY PUBLIC STATE OF ND A iA 0 r +,•• <br />MY CC1V%1ISS1OJ,1 <br />EXP. SE F� S cn <br />This instrument was re are 6 7Cnff6 1YACJty A: P P BruneeZ, Assistant City Attorney, Sg00 CduLt•y�C1tyu d n oijthB�nd, IN 96601, <br />C;\dots\Consent.frm - � � � Q,� • <br />