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\Hold for: South Bend Board of Public Works ,. <br />Room 1308, County --City Building `j623G.90 <br />South Bend, Indiana 46601 <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRATE <br />In consideration <br />City of South Bend, Indiana, <br />for permission to connect to the public water main <br />of the <br />to provide water service to the following described <br />,Property, (hereinafter referred to 'Real <br />. `. .,: <br />ount C yJ Indiana: <br />as the <br />Estate"), situated in St. <br />Joseph <br />c: <br />=- <br />Key <br />Nos._- <br />�° Sk Q <br />r <br />• C <br />/ <br />���, <br />CD <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 I �Z <br />ST <br />C� <br />'Print Name: <br />_ sCc—[bb +6t�\1 Loo&A (?--,iV4 <br />COUNTY OF ST. JOSEPH <br />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 w'hose e S- ( is p/ �b <br />foregoing instrument appeared before name s subscribed to the <br />re me this day in person anacknowledged <br />d <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 <br />�\ , 199 Cr �� day of <br />My Commission Expires <br />",•"J�=" <br />JULIEHAWKINS <br />NOTARY PUBLIC <br />LIC SPATE OF INDIANA <br />I <br />`'u�• -' = ' <br />ThMyive1�Preparip`vy� �I$��sTe;.neei, City <br />Assistant <br />C:\docslConsent.frmy <br />r <br />At[ornoq, <br />1400 Count,Cityuldtnq; Soutyti Band, <br />IN 46fi01. <br />