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;)631618
<br />APPROVED
<br />Hold for: South Bend Board of Public Works Bo.u•d of Public Works
<br />Room 1308, County -City Building
<br />South Bend, Indiana 46601 ��, /1-996 _
<br />CONSENT TO ANNEXATION
<br />WAIVER OF RIGHT TO REMOr
<br />In consideration for permission to connect to thevpublic,,,ater 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. ,D 0q -7 OQ 1
<br />J,
<br />Myner of the Real Estate, (hereinafter "Owner"), for itself and its successors
<br />V in title and assigns, waives and releases any and all right which it may now or
<br />r 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 />B
<br />1�iLl �� �i� �.Cj1�41%- Y✓�^��'4l."1/`���{J,����'//`'/ GI r.
<br />�,��,`-'•,Z'�/ :/..t4rf�� �ii-����^�� /� 1� Print Name.l-
<br />STATE OF INDIANA
<br />COUNTY OF ST. J OSEPH
<br />I, a Notar
<br />the state aforesaid, DO HEREBY CERTIFY THATy public in and for said�untry �'in
<br />personally known to me to be the same person whose name is subscrb'td�t'he
<br />foregoing instrument, appeared before me this day in person and ackrgi�gd
<br />that they/he/she executed the foregoing instrument as their/his/her ;ee and,,
<br />voluntary act and deed for the issues and purposes therein contained.
<br />Given under my hand, ndo� offa5� yE;.seal this the 199_day of
<br />i U
<br />:af:?lti•:rZ: ��:iN �.
<br />(� kk NOTARY PUBLIC
<br />My Commission Expires: AUG , �1r 25
<br />ST..iOsE1111 Co,
<br />I 1N01ANlt
<br />t+rrl1ppryry
<br />This instrument was ptepared by Anne Bruneel, Assistant p Ct!ty Attt OR � C y,
<br />C:\does\Cons©nt.frm' qp0 County -City Building, South Bend, IN 46601.
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