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96316 37 <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 />APPROVED <br />Board of Public Work,, <br />1 <br />In consideration for permission to connect to the ixtblic water main of the <br />City of South Bend, Indiana, to provide water service to the fQ,Ylowing described <br />property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph <br />-County, Indiana: <br />Key Nos. 06 <br />1D?) -'? 4)4%:!5 1`7 <br />uz,btrd <br />U J ; <br />�L --T —ij 1J (S <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 />1 <br />By: <br />3 <br />/ � u&LL_ P r i nt Name <br />STATE OF INDIANA <br />' Sg ZSS yW ... <br />COUNTY OF ST. JOSEPH ) <br />SS: <br />J <br />I. SuS�aN �U��fnS �i a Notary public in and for said -.countq1, <br />the state aforesaid, DO HEREBY CERTIFY THAT \ UN\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 />Given under my hand and official seal this the ��day of <br />199 to . <br />,�y K._l•��.,ti <br />MA~ nc>t;Ef2 NOTARY PUBLIC <br />My Commission Expires:1=� <br />_ 31 <br />C-A <br />,'t1G <br />— <br />-ItAWAO nR <br />This instrument was prepar rI Sl n sec rauneel, Assistant City Attorney, 1400 <br />County -City Building, Southend, IN 46601. <br />C:\docs\Consent.frm <br />