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• 1 <br />clio—,�d-lfor: South Bend Board of Public Works <br />Room 1308, count 6ity Building <br />South Bend, Indiana 46601 9623683 <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 />f:'C�tY 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. <br />o5 (03S 04stl& <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 />r 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. l` <br />By. <br />APPROVED r L_. <br />Board of Public Works <br />96 53''Print Name <br />�- I'.3QS"1H CO. <br />INDIANA <br />FILED FOR RECORD <br />ST E OF INDIANA } C 9 SD-C) <br />/ SS: <br />COUNTY OF ST. JOSEPH <br />a Notary ublic in and for s id county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT����{�f% <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 />19 9 (r \ <br />�� YCS IrVn1.,•�4:, •• •. <br />My Commission Expires <br />. 1. ;,� .•• • •••.'�_ . <br />)ULIE ANN HAWKINS <br />NOTARY PUBLIC STATE OF INDIANA 0 IJ `k <br />C:\d]n'S�runool, Assistant City Attorno 1400 Count C t B. i s ' ` C;\dots\Consent •: rm Y Yr Y' 17! �� dinq� Sough iHo�n[j, ,�N,#6601, <br />