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M- <br />1. 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 />.APPRAva) <br />Bogrd Of Public Works <br />in consideration for permission to connect to the pp.4blic wa er 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. <br />2-SS 0 6� <br />6R2-6s [-�)� I y"-)odA <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. <br />llt�s /�CrrZEF�(G/J� /S By: <br />i 5 i AIVn <br />Print Name: <br />S i �f f� �i /.vr�i�•v� <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF ST. JOSEPH } <br />S�asS Noij��rn�'a <br />I, ) a Notary public in and for said c6unty, in <br />SAN � i�15� <br />the state aforesaid, DO HEREBY CERTIFY THAT _SANE;N\S <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 />V 1V�n under my nanci z:x.n c_ c.�i:ic i.al s�c1i Citis i=.nc a`l-T 1A 6c,y or <br />v\y 199 <br />r,L' �RI�'Et�1 <br />My Commission Expires: <br />- 5 - aCZp <br />This instrument was <br />County -City Building, <br />C:\dots\Consent.Erm <br />_ ZL <br />NOTARY PUBLIC <br />S.`.. s i IS -n�i � <br />prepared ly���ngraC neel, Assistant City Attorney, 1400 <br />Southf d, IN 46601• <br />