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Hold for: South Bend Board of Public works APPROVED <br />Room 1308, County -City Building Board of Public Works <br />South Bend, Indiana 466019636720 <br />6 <br />CONSENT TO ANNEXATION AND <br />WAZVER OF RIGHT TO REMONSTRATE <br />In consideration for permission to connect to the pub c water main of the <br />Ci-ty 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: �1 <br />Key Nos. V_S�j1 \���1�j�F� '�3 vv-,, c)N <br />lat�I� <br />os �o R F o -Ta-M <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 />,� v 1 s < ��•z 5 C��--Print Name: <br />o <br />fC'./ I p c (c-i—, / l 0 .��r� 6P67P 3 "1 \1�j <br />STATE OF INDIANA <br />COUNTY OF ST, JOSEPH ) r� <br />a Notary public in and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT / ?Mya/y <br />personally known to me to be the same person whose name is subscr bed to the <br />foregoing instrument, appoared before me this day in perscn 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 ana official seal his the -:2-6 day of <br />a,ctc - cL.Z _ 199 <br />NOTPAY PUBLIC <br />My Cbrlmission.Expires: <br />�0 <br />This instrument was preparedi.by:;Ahne Bruneel, Assistant City Attorney, 1400 <br />County -City Building, SoutfNl Bend;' 'Jff'QI 901. <br />C:\dots\Consont.frm <br />