#1892- Deed; CONSENT TO ANNEXATION Dollar Lake Gardens Pro 59479 Mayflower Road

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�)631627 APPROVED Board of Public Wo1•ks Hold for: South Bend Board of Public Works Room 1308, County -City Building 9` South Bend, Indiana 46601 CONSENT TO ANNEXATION WAIVER OF RIGHT TO REMOI In consideration for permission to connect to the pubic water main of the City of South Bend, Indiana, to provide water service to the following described property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph County, Indiana: Key Nos. 05 1035 045102 05 1035 044908 LOT 18 BEG 2.298.96' S LOTS 19 & 20 & 40' W OF THE NW COR DOLLAR LAKE GARDENS PRO OF THE NE 1-4 OF THE & MID PT E SIDE E E NW 1.64 AC SEC 29 37 2E 1.27 AC SEC 29 39 2E 59479 St. Rd. 123 59479 Mayflower South Bend, IN 46619 South Bend, IN 46619 owner of the Real Estate, (hereinafter "Owner"), for itself and its successors in title and assigns, waives and releases any and all right which it may now or hereafter have to remonstrate against or otherwise object to, interfere with, or oppose any pending or future annexation of the Real Estate by the City of South Bend. In further consideration and to induce the City of South Bend to allow Owner to tap into the public water main of the City of South Bend, Owner, for itself and its successors and assigns, agrees hereby to vest in the City of South Bend the permanent right, at the City's discretion, to annex the Real Estate at any future time by duly authorized ordinance. Owner further agrees that any deeds, contracts, or other instruments of conveyance made by Owner, its successors or assigns shall contain the waiver and release provisions contained herein, which provisions shall run with the land. The delivery of any instrument of conveyance from the owner to any successor, grantee, vendee or contract purchaser is subject to the terms of this document and the acceptance of such instrument shall constitute an acceptance of the foregoing provisions by said grantee, vendee, or contract purchaser and their successors in title. Print Name: /" 75 C� j• - 59479' St. Road 123 STATE OF INDIANA } ;t,;:,'.;;t;� South Bend, IN 46619 } SS: � 'p t�i► 9479 Mayflower _ COUNTY OF ST. JOSEPH ) �,��G '� i II�c I, � 1 h�vL • h� L L51•• Sc,�,E.Pr; co. South Bend, IN 46619 the state aforesaid, DO HEREBY � lgatar public in and for said county, in Personally known to me to be t�Y1��same Lo �! T' $ foregoing instrument, a person whose name is subscribed to the appeared before me this day in person and acknowledged that they/he/she executed the foregoing instrument as their/his/her free and voluntary act and deed for the issues and purposes therein contained. Given under my hand and official seal this the 199 day of N Y PUBLIC My Commission Expires: This instrument was prepared by Anne 8riideb',`;As4�stant City At;tortiey, 1400 C:\docs\Consent.frm County-C![y Building, South Bend, IN 46602. � .45