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APPROVED <br />Hold for: South Bend Board of Public Works 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 />' -r <br />�,. Key Nos. . � � �D � '`, � 5'�`LJ""�"� !� �/ 10 <br />-C tC) Lem k e I ST <br />.- f 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 />rhereafter 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 />TYL�S 'Aq�,'Y»v1tT ice. Si(tr�c� ia��ele� <br />.Protest aver � .b ect -u -}-b,_ prov"s; -s o <br />J j % S a 6LS-Po-SSccl 6,j +'I - 7 Eck f Print Name <br />zq! UJ cr Cti e-S5 io,, I ��:jCS }v' & ZV%CV-C-1 }- <br />zSlJi:1` 1pl� `Irg0 6F l'ti° f,,At. CS <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF ST. JOSEPH ) <br />,�ei'-re.o 1. {nvace.ti-1 <br />Il -'I `• <br />I, S, ' {SJ\K) i ir'(ti15r11 , a Notary public in and for sal- 'cbunty,, "ran <br />the state aforesaid, DO HEREBY CERTIFY THAT �c��Q��; `���i�c,�ti _ <br />personally known to me to be the same person whose dame is subs'dti,i~ed tL� the <br />foregoing instrument, appeared before me this day in person and ,-Acxnowl edged <br />that they/he/she executed the foregoing instrument as their/his/]ipr,, ,free;.,•aiid-;,�; <br />voluntary act and deed for the issues and purposes therein contained;:,,` <br />Giv@n under my hand and official seal this the a y day of <br />�)1 199 �_, . <br />`L1� <br />J <br />NOTARY PUBLIC <br />n'iC{i <br />My Commission Expires: <br />' fly{.Pyi LAnne Bruneel, Assistant City Attorney, 1400 <br />This instrument was pre�a�j,c�1. y� y y, <br />County -City Building, F{{� <br />C:%docs\Consont.fcm <br />