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J631V29 <br />PPRdvrn <br />Namof .Public Works <br />Hold for: South Bend Board of Public Works <br />f Room 1306, County -City Building <br />t South Bend, Indiana 46601 <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRA <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. O r- �'j '1 �j i y '� (1%1 Gi �� i- ( 0 (.0 C I_ <br />.� i O � 5 <br />8 x 20 t'Z�S �,/i I _PT E e NL-) <br />,'_ " c c1 t A G 2q 3 -7 2 2 <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 />kly_ lJ aeLc� Ey . <br />,f-r�� - Print Name: Q Y,, A% V-a D yt <br />17 o e& <br />STATE OF INDIANA ) <br />SS: <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 whose name is sub'�Scribec. 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�i <br />19 9 t0 <br />NOTARY PUBLIC <br />My Commission Expires: <br />;�11G t S <br />5f •'t}pi;q�C��p <br />This instrument was prepare 6y+}Anne Bruneel, Assistant City Attorney, 1400 <br />County --City Building, 5outh�4nd, IN 46601. <br />C:\docs\COnsont.frm <br />