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APPROVED <br />Hold for: South Bend Board of Public Works Board of Public works <br />Room 13081 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 puvblic wate main of the <br />City of South Bend, Indiana, to provide water service to the fol ping described <br />property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph <br />County, Indiana: <br />Key Nos. <br />�z 7 <br />Lo 3- z 4�e 1 c.n m �cc5 I <br />cr <br />"owner of the Real Estate, (hereinafter "Owner"), for itself and its successors <br />i;n 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 />This Agreement is signed under protesB <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. /� 7 <br />,Pint Name: <br />STATE OF IND IANA ) 1 :1Q Vo <br />COUNTY OF ST . JOSEPH <br />I V F �S Gc a Notary 1pu1 b is in and fo sa d county, in <br />the state afo4 said, DO HEREBY CERTIFY THAT i�e��h �5 <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 thsythe'/she executed the foregoing instrument as the±xkh-�/her free and <br />voluntary act and deed for the issues and purposes therein contained. <br />Given under my hand and official seal this they day of <br />•' r 199�. <br />NOTARY PUBLIC <br />My 'COMMIssion Expires: DOUGLI�S V 3CESLER <br />..,• �! NOTARY PUBLIC SLATE OP INDIANA <br />tg <br />�h ` ST. )OSEPH COUNTY <br />- < lr4Y C01�7i\iIS51ON E\ P. API•,- 5,1990 <br />This instrument was prepared by Anne Bruneel, Assistant City Attorney, 1400 <br />County -City Building, South Bend, IN 46601. <br />C:\dots\Conuunt.Prm <br />