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r <br />r <br />J631620 APPROVED <br />Board of Public Works <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 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 />Key Nos. 015 ic) i � 0 0)0ID, <br />Lo �` 3 S Peppc a 3 Z fe 6 Pep c,s- (Y',; <br />bwner 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 />By: <br />-�' <br />h//x;/�� <br />� � n� D <br />�/Print Name: /0��JZ�� <br />/y�'C ��;,,LL G_2 Z� •r-s� tca,G p--,.-cr,/ �� � t� . - ) <br />STATE OF INDIANA <br />SS: sUr�i �: o21(vri �� ooc?� �•, <br />COUNTY OF ST . JOSEPH <br />a Notary ublic in and . for said r �a+jizty, �i the state aforesaid, DO HEREBY CERTIFY THAT <br />personally known to me to be the same person whose naive is subscribed cb,the.• <br />foregoing instrument, appeared before me this day in person and acknowleLiged <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 c1` 199 day of <br />;, , „• �?t (1 NOTARY PVBLIC <br />My Commission Expires: k� 2.3 s .� <br />5i'. <br />This instrument was prepared �Y, C4PT'OR :BHAH1, Assistant City Attorney, 1400 <br />County -City Building, South Bend,_ IN 46601. <br />C:\doca\Conaant.frm <br />