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!)631626 <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 REMONSTR7 <br />APPROVED <br />Board of Public Works <br />In consideration for permission to connect to the public water main of the <br />City of South Bend, Indiana, to provide water service t the f.ol�lowing described <br />..,property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph <br />`County, Indiana: <br />Key Nos. �� l � 3J� 0 ��•3 � � <br />SC1616 mc-yFtowc"r <br />'.. Lb 3 4 ckcv\ M. <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 alloow <br />Owner to tap into the public water main of the City of South Bend, Owner, <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 />This agreement is signed under protest By: <br />and subject to the provisions of HB 1184 <br />as passed by the 2nd Regular -Session, <br />109th General Assembly (1996) of the <br />State of Indiana. print Name: <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF ST. JOSEPH ) <br />IS Key leoV, a Notary bis in and fP-�r said county, <br />in <br />the state afo said, DO HEREBY CERTIFY THAT �r name is subscribed to <br />whose <br />the <br />personally known to me to be the same person <br />appeared before me this day in person and acknowledged <br />foregoing instrument, <br />that t_h•ey/ire/she executed the foregoing instrument as t-h - r/ems/her free <br />and <br />voluntary act and deed for the issues and purposes therein contained. <br />l' <br />G' veti an�i�� guy i,dnci and official seal this the day <br />of <br />19 9 C7 <br />♦ �1�� r � ; , � rt_ C <br />NOTAR PUBLIC <br />J.- DOUGLAS V Kr_­LER <br />My COmm"ission Expires: ��j IVQTARYPUI3LICSTATEOFINIDIA\A <br />�s <br />V, ST. JOSEPH COUNTY <br />E11J� 5,1993 2 <br />MY COMMISSION EXIT. APR. <br />This instrument was prepare¢;!�b_V� Bruneel, Assistant City Attorney, <br />1400 <br />County -City Building, SopagAMa d,, M 46601. <br />CC\docs\Consant.fcm <br />