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(�Holdfor: south Bend Board of Public Works <br />Room 1308, County City Building <br />South Bend, Indiana 46601 f)623GS6 <br />CONSENT TO ANNEXATION AND <br />=F <br />WAIVER OF RIGHT TO REMONSTRATE <br />In consideration for permission to connect to the public water <br />main of the <br />described <br />City of South Bend, Indiana, to provide water service to the <br />following <br />Joseph <br />A <br />property, (hereinafter referred to as the "Real Estate"), situated in <br />St. <br />County, Indiana: <br />Key Nos. L S) (4 <br />:.. <br />���- Lai <br />c _ <br />y'fit <br />- <br />70 <br />Ln <br />Ln <br />` <br />cD <br />�� <br />1 c•- <br />, <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. <br />APPROVED By: <br />Board of Public Works <br />rint Name: A A-Y L o o � > � � �s � � �(5- <br />STATE OF INDXANA ) j9 341 j <br />) SS: athl& 4 <br />COUNTY OF ST . JO,,S/��EPH {�) <br />I, �r l i� Y1Y�-.- I; Li �-10- , a Notary public in and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT ( ( <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 <br />day of <br />�Cc.+_ , 19 9 (, . /J // <br />Y PUBLIC <br />My Commission Expires: T <br />V i1 <br />JULIE AVgj\1 I IAWi�INS f�p�p <br />F\i, <br />�, ''. <br />NOTARY PUBLl STATE OF IhI fiIlllV!] <br />� . ,`/ • '. <br />Thi{y¢�nG1i � �'+�hY� epare by Anne Bruneel, <br />Assistant City Attorney, <br />C:\does\Consent,frm <br />1400 County•-City^Buil%linq, yZ&K-'"Bend , :IN.966Q1. <br />A- <br />