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Hold for: <br />9631925 <br />South Benc Board of Pub lic_Works <br />Room 1308, -eotrrity-City Building - <br />South Bend, Indiana 46601 <br />APPROVED <br />-- Bo.trd of Public Works <br />CONSENT TO ANNEXATION AND E '3 <br />WAI <br />VER OF RIGHT TO REMONST 2 <br />In consideration for permission to connect to t in of the <br />City of South Bend, Indiana, to provide water service to th ollowing described <br />property, (hereinafter referred to as the "Real Estate"), situated in St. Joseph <br />County, Indiana: <br />Key Nos. CIS � 0 Ct S ( 0 -] <br />v t aq <br />L n Do qa-r Lj, <br />0-C L0 �- 1�' +. - (CD �- 9 <br />Grd,e4l S C-6 <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 />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 />By: <br />t_i - � _ Q Ito <br />— Print Name. <br />—�— <br />t:J C— <br />' J <br />h- :X <br />l) iL �C <br />STATE OF INDIANA ) 6 l� 7 <br />SS: <br />COUNTY OF ST . JOSEPH�I <br />a Notary public in and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT Sfp� a�-, ; _ <br />personally known to me to be the same personw'w hose name 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 / �' day of <br />199 <br />K7:- <br />My Commission Expires:}- <br />WU E A" HA WKTt+iS <br />NOTARY PUBLIC STATE OF 1NDMA <br />TM-y Mj%1GN 8 8 <br />C:\d0csWonsant.frm 11 Hsuneel, Assistant Clty Att0cn0y, <br />c �, <br />1400 Coli��t gj-rYjqjgl;ig,�,$outh,Uand, IN 46601. <br />t ,,r � • II � �t� ' <br />°� t <br />