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bola for : South Ben oard _of Public_ -works <br />Room 1308, County-C:ty Building <br />South Bend, Indiana 46601 <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 />-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. �T #3� \V\ RLZQ)QW_\1 PI.A\ o�_ <br />SE(_-7 vN COUNT <br />�`• � a3�g5 P�,PP�IN� p�--ACE . <br />r <br />�., � T'r OS -- � b�4-� � � —t ► � <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 provisions by said grantee, vendee, or contract purchaser and <br />their successors in title. B C <br />rZ <br />�� c y: <br />z' <br />! J <br />;, <br />- Ai'1'fiOVED <br />o - <br />Board of Public Works <br />STATE OF TNI <br />) SS: <br />COUNTY OF ST. JOSEPH ) <br />// is 6anr' <br />a Notary public in and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT S� ,P.y nl-GkntN _ <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 />—7.. .c ,._a - <br />MY Commission Expires: <br />SUSAN M, LUTOMSKI, Nolary pudlic <br />- S A Resident of St. Joseph County, IN <br />My Commission Expires 7 5 96 <br />This instrument was prepared by Anne Bruneel, Assistant City Attorney, '1400 <br />County -City Building, South Bend, IN 46601. <br />C:\does\ConsanC.frrn <br />