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A PPR O VED
<br />Hold for: South Bend Board of Public Works Board of plib1►c Works
<br />Room 1308, County -City Building
<br />South Bend, Indiana 46601 _ A11P,
<br />CONSENT TO ANNEXATION AND
<br />WAIVER OF RIGHT TO REMONSTRATE
<br />In consideration for permission to connect to the pAlic wa er main of the
<br />City of South Bend, Indiana, to provide water service to the fo l owing described
<br />property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph
<br />County, Indiana:
<br />Key Nos.
<br />SOS oq���
<br />_-2 �339 S�. P-CA. z.3
<br />A o W SG c d� �1 G
<br />Y
<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
<br />successor, grantee, vendee or contract purchaser is subject to the
<br />document and the acceptance of such instrument shall constitute
<br />of the foregoing provisions by said grantee, vendee, or contract
<br />their successors in title.
<br />/I,�r,5 r 7
<br />AD SZZ
<br />STATE
<br />COUNTY
<br />J
<br />A6,41,47 71
<br />Owner to any
<br />terms of this
<br />an acceptance
<br />purchaser and
<br />By: �/ d
<br />Print Name: P4
<br />BZ6 `
<br />OF IND �F
<br />a333g sRa3
<br />ZANA � SS:
<br />OF ST . JOSEPH
<br />-!-0 : 23`f01 S � • `�,- -a
<br />'(rV(,Pr�,
<br />I, Susan M. Lutomski r 4 N'� ublic in andm for- said county, in
<br />the state aforesaid, DO HEREBY CE •4�1�'�`�AT �^CNt�ESA 1 ` �ClU6�i3.1S __
<br />personally known to me to be the_person whose name is subscribed to the
<br />foregoing instrument, appeared beFf'ore me this day in person and acknowledged
<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 24th day of
<br />.Tilly , 19g 6
<br />NOTARY PUBLIC
<br />My Commission Expires: ?x `c,;......
<br />July 5, 2000 =•'
<br />This instrument was p�•by.
<br />rera� ! n
<br />. ._Anne - B;,uneel,
<br />County -City Building, Sou�,P,Bsi�d, TN" 46.501.
<br />C:\dots\Consont.frm 1 ..';11 •,
<br />Assistant City Attorney, 1400
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