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`36A.!G.5 33 <br />Hold for: South Bend Board of Public works <br />Room 1308, County -City 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. D6 1 D35 DYA i005 <br />2-`i-7. 2` �- 5; A 1 j-�d �,( <br />(L L- f2 -b 5 5 b T <br />5 0 w Ccv,ls�'-tea ' <br />owner of the Real Estate T <br />rs <br />in title and assigns, waives ha di�releasesaanyrand all right for fwhichiit mayts 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 suscessorrs in title. <br />APPROVED <br />_ -- Board of Public Works By: <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF ST. JOSEPH ) <br />I' !. a Notary public n and for said county, in <br />the state afores id, DO HEREBY CERTIFY THAT <br />personally known to me to be the same person hose name i 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 i7 �'1 day of <br />e , 199�. <br />My Co}' Mia 6''i X).. Expire <br />i •�,- -A <br />h <br />NOTARY UB ICILL I a2 <br />MAFiY <br />M. JOHNSON, Notary Public <br />A Resident od St. Joseph County, 1N <br />* COmmlealon Expires December 28, 1997 <br />T is instrument: was prepared by Anne Bruneel, Assistant City Attorney, 1400 <br />County -City Building, South Bend, IN 46601. <br />C!WGC5%C0ns6nt.frm <br />