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Hold for: South Bend Board of Public Works <br />Room 1308, County -City Building <br />South Bend, Indiana 46601 9 G02-2G80 <br />CONSENT TO ANNEXATION AND <br />WA2vER 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. dS f U3S `1 J s G <br />i 7, -vl <br />€�2 ( V1 d <br />Ac r. S u <br />sec Zcr -7 / <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 />I 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 />of the foregoing provisions by said grantee, vendee, or contract purchaser and <br />their successors in title. <br />APPROVED <br />Board of Public Works 96 <br />INDIAl\ihE0 [-OR �ECORO <br />) SS: <br />By. <br />Print Name: <br />COUNTY OF ST . JOSEPH ) .1 sal <br />a Notary �p-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 whosd 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 day of <br />r u 199 C.- <br />My Commission Expires. 'r`�' t•i Q �_2 I- <br />JULIE ANN HA WKI?qS <br />N07'ARY PUBLIC STATE or WDLANA <br />MY a.. . <br />COMMISSION �.� I <br />phis Instrument a e BteA � $e gruneel, Assistant City Attornoy, 14o0 County-C�C.y-tG %ing;.SoutJi'p6drJ,-IN 96601, <br />C:\dots\Consenc.frm`,' r'•„ \�.. <br />