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(� H )1d or: South Bend Boar�d,,�-of Public Works
<br />��
<br />v Room 1308, burdnty--City Building
<br />South Bend, Indiana 46601 '367
<br />CONSENT TO ANNEXATION AND
<br />WAIVER OF RIGHT TO REMONSTRATE
<br />~. In consideration for permission to connect to the public water main
<br />of the
<br />City of South Bend, Indiana, to provide water service to the
<br />following described
<br />- ,%property, (hereinafter referred to as the "Real Estate"), situated in St.
<br />Joseph
<br />f County, Indiana:
<br />Key Nos.See-
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<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
<br />which it may
<br />now or
<br />hereafter have to remonstrate against or otherwise object
<br />to, interfere
<br />with,
<br />or oppose any pending or future annexation of the Real Estate
<br />by the City
<br />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 />APPROVED BY:
<br />Board of Public Works
<br />Print Name:
<br />- - - - 233 �3 Cl,d�� j�-•
<br />STATE OF NDIANA
<br />) SS: l
<br />COUNTY OF ST.`JOSEPH )
<br />I, —��cl +Q G�h�r\ �,�5 , a Notary bl'-c in and for said county, in
<br />the state aforesaid, DO HEREBY CERTIFY THAT _Yr) 0,1, �,,, ;
<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 eat this the
<br />Y'Y Cum , 199 (, '
<br />day of
<br />RX PUBTJIC ,,, ,,` V
<br />J,, IN 1i .
<br />My Comm
<br />1 .......•
<br />••"'•
<br />NOTARY PUBi.iC STATE OF INDIANA
<br />_ r•Q ? 1
<br />'�''� y
<br />ST, I06EPH COUNTY
<br />MY 0YMMISSION EXP. SEPT 183"S
<br />This instrument was prepared by Anne Bruneel, Assistant City
<br />C:\docs\Consent.frm
<br />//
<br />Attorney, 1400 county -City BUISA pp%�SLCEI�nd, �iN;46,60i•
<br />v_ i ll�r
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