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631621 <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 />WA=R OF RIGHT TO REMONSTRATE <br />APpROVPD <br />Board Of Public works <br />In consideration for permission to connect to the public wat-e�r 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. C)05 -I b� <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 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 />Print Name: �C c�J��� !� ��y l�o ws <br />, Q[� <br />25 !�(') '96 <br />r�( <br />De_, ol-a Y 1 14, <br />. <br />S T..:0 E F h CO. <br />F1LF0 FC1C.CORDu�h1 <br />STATE OF INDIANA ) <br />`t�t1�p(� <br />SS. <br />COUNTY OF ST. JOSEPH <br />I, �_\yy s� 1 <br />a Notary public in and for s�Qd.-,,C8,�i ,tv;' in <br />the state aforesaid, DO HEREBY <br />CERTIFY THAT %WARS R' QF!�,OfZA1i `� ia4�1 i0W5�S� <br />personally known to me to be the same person whose name is subscribed...to the <br />foregoing instrument, appeared <br />before me this day in person and acknowledged <br />that they/he/she executed the <br />foregoing instrument as their/his/her free and <br />voluntary act and deed for the <br />issues and purposes therein contained. <br />ND <br />Given under my hand and official seal this the C day of <br />ems _ 199 l0 . <br />NOTARY PUBLIC <br />My Commission Expires: <br />-s-qto <br />This instrument was prepared by Anne Bruneel, Assistant City Attorney, 1400 <br />County -City Building, South Bend, IN 46601. <br />C:\dots\Consonc.frm <br />