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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. <br />C:\dots\Consont.frm <br />