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Cd for: South Bend Board of Public Works <br />Room 1308, County ­:City Building <br />South Bend, Indiana 46601 9623G85 <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRATE <br />In consideration for permission to connect to the public water <br />City of South Bend, Indiana, <br />main <br />of the <br />to provide water service to <br />property, (hereinafter referred to as the "Real Estate") <br />the following <br />described <br />i <br />, <br />County, Indiana: <br />situated in <br />St. <br />Joseph <br />Key Nos. <br />S[� <br />1 <br />_)o <br />r <br />n> <br />S' <br />C <br />r <br />r• <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 />of the foregoing pro -visions by said grantee, vendee, or contract purchaser and <br />their successors in title. <br />APPROVED <br />Board of Public Works <br />By • <br />Print Name: E <br />E <br />COUNTY OF JOSEPH <br />} <br />CCST. <br />I,1_ <br />���)IG�__S3 a Notary public in and t'or said county, <br />in <br />the State a£oresaJ d, no HEREBY cE12TXrY THAT I ( \ <br />persona7.1y known to me <br />Foregoing instrument, <br />to be the same person whose name is subscribed to <br />the <br />that they/he/she <br />appeared before me this day in person and acknowledged <br />executed <br />voluntary act deed <br />the foregoing instrument as their/his/her free <br />and <br />and <br />for the issues and purposes therein contained. <br />Given under my <br />lyy_ti <br />hand and official seal this the day <br />of <br />cN <br />199 (9 . <br />4ANY) <br />PUBLICMy <br />Commission Expires <br />��' <br />�` <br />•' 'ram <br />y�t,j. ����a _�t.�r��t�� <br />GP <br />`� : <br />This t t <br />Ftugan xa.� Qg r _� -Duel, Anslstant City Attorna 1400 cou ty;City,BulJding,. sdut; Bend,IN 46601. <br />g 1ry! Y v. n <br />C:\d'ocs+4�d+ti�a��:`iiI::4 <br />)0 .r i' <br />s�• -;�\ <br />