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APPROVED <br />Board of Public Works <br />Hold for: <br />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 />Yir <br />the <br />In con5iueid­v1, <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 • D�.� /U �v C Ll7uvi <br />+7_1 1 <br />�l J N r� -� <br />pad j -1-� 1reIcy KZcl t,v ' 1 a �3 1/4 SLC- Jl - 3-1 - 7-C- <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 />FIt <br />S1. i0�F. Ii CO. <br />STATE OF INDIANA -1iil.ilt N <br />�tt�o r?, RECORB <br />COUNTY OF ST. JOSEPH ) <br />Print Name: <br />/ R <br />S7 ��E k(ALA a3 <br />Scv'ol t0 : -Z3 3S (,0 5 �- • P-A -Z <br />a Notary -oblic in and for , said county, in <br />the state aforesaid, AO RtREBY CERTIFY THAT 14 personally known known to me to be the same person whose hame is subscribed to the <br />foregoing instrument, appeared before 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 L{) day of <br />�p 1 ) 9 �U <br />.... lni <br />N -TARY PUBLIC, <br />CQi?__ri6s4un,:Ex ires: <br />IN. <br />r: RaS�I S CAS 1"t 1ion 7 i <br />Th.'s---instrument was prepared by Anne Bruneel; Assistant City Attorney, 1400 <br />County --City Building, South Bend, IN 46601. <br />C:ldocs\Ccnsant.frm <br />