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r <br />' <br />Hol or: South Bend Board of Public Works <br />Room 1308, County -City Building <br />South Bend, Indiana 46601 `36j0,(._!36'75 <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRATE <br />4, <br />In consideration for permission to connect to the <br />public water main of -.the <br />! <br />City of South Bend, Indiana, to provide water service to <br />property, (hereinafter referred to as the "Real Estate"), <br />the following_descrfped <br />in <br />situated Josoph <br />r <br />County, Indiana: <br />Key Nos. o l a�� �� T S 1 i_�1 <br />�` <br />9- <br />ft1 �L7 <br />l- o A- <br />ry J <br />Lo 4- z-) q- �qs 1 X a,3 q <br />c__Cz� t --�-q <br />y <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 />of the foregoing provisions <br />their successors in title. <br />23+?)4 CLByd <br />STATE O <br />COUNTY <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 />ti <br />By: <br />XL <br />c� l lj "�ltit C G <br />APpRpji D <br />Board of public works Print Name: <br />96 <br />F <br />OF ST . JOS PE H <br />I' a Notary ublic and for said county <br />, in <br />the state aforesaid, DO HEREBY CERTIFY THAT �c i j� <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/J �'/ day of <br />NO RY� PUBL1 , <br />My Commission Expires. '�� ••' <br />'� � <br />JUL1R ANAI,vd:C1P3S ' ' ' ` i- -` <br />NOTARY PUB <br />LlC S'fC'lL O7 lIVDtAh,�A �F } <br />T _ ^. a <br />Tfif9 i"n�Jtt�AtiTjba�'� "iRP1 5TbFA4i';;gruneel, Assistant City Attorney, 1400 County -City Build Stt�,••Sout�f 8�ead,rSjl <br />C:\docs\Consent.ftm <br />