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{
<br />;963is17
<br />APPROVED
<br />Board of Public Works
<br />Hold for: South Bend Board of Public works
<br />Room 1308, County -City Building ^ A � '�996 C
<br />South Bend, Indiana 46601 J
<br />CONSENT TO ANNEXATION
<br />WAIVER OF RIGHT TO REMOI
<br />in consideration for permission to connect to thVpublic 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. f:� J s" `73
<br />2 -9
<br />Lo - l 4Cl c"v" K Gs 1 C.+� VY� ✓L o r
<br />•- � Su���V�Stio'n
<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 onstitute an acceptance
<br />of the foregoing provisions by said grantee, vende , r contract urchaser and
<br />their successors in title. �,,
<br />This Agreement is signed under By:
<br />protest and subject to the provisions
<br />of HB 1184 as passed by the 2nd
<br />Regular Session, 109th General Assembly
<br />(1996) of the State of Indiana.
<br />Print Name:
<br />STATE OF INDIANA
<br />COUNTY OF ST. JOSEPH
<br />D3yg_� sRla_3
<br />z 'tC. gP,
<br />S kt1G 1 i 25
<br />S r. .-,SI.Fl• CO.
<br />a qPJAry public in an for Z
<br />id Bounty, in
<br />the state afor said, DO HEREBY CERTIFY THAT �5 P �S
<br />personally known to me to be the same person whose name is subs' ibed to the
<br />foregoing instrument, appeared before me this day in person and acknowledged
<br />that they/ice/,%4,r6 executed the foregoing instrument as their/>k9/he-f free and
<br />voluntary act and deed for the issues and purposes therein contained.
<br />f�
<br />Given under my hand and official seal this the ;-- / day of
<br />199,.
<br />•,� "
<br />''• , vim'.
<br />..my Commission Expires:
<br />NOTARY PUBLIC
<br />S DOUGLAS V KESLER
<br />1140TARY PUBLIC STATE OF INDIANk
<br />ST. JOSEPH COUNTY
<br />�; Iv[Y COMMISSION £XI', APR. 5,1998
<br />This instrument was prepared by Anne Bruneel, Assistant City Attorney, 1400
<br />County -City Building, South Bend, IN 46601.
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