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<br />9636718
<br />Hold'zor: ,:: 1•r - h•
<br />South Bend Board of Public Works ��• •. - �;
<br />Room 1308, County -City Building
<br />South Bend, Indiana 46601°
<br />CONSENT TO ANNEXATION AND
<br />WAIVER OF RIGHT TO REMONSTRATE
<br />In consideration for permission to connect to the public water main of irhe4
<br />City of South Bend, Indiana, to provide water service to the following descr°bia
<br />property, (hereinafter referred to as the "Real Estate"), situated in St. Joj,e�h
<br />County, Indiana:
<br />Ke Nos.
<br />Y 05 1035 0476
<br />APPROVED
<br />PGl e- s . S + c:�-�. ( re_ ( 0. at Board of Public Works
<br />� . off- kAarGf cS f 9 96
<br />tl
<br />Sec
<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 Bernd 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 />*This Agreement is signed under protest
<br />and subject to the provisions of HB1184
<br />as passed by the 2d Regular Session,
<br />109th General Assembly (1996) of the
<br />State of Indiana.
<br />By:
<br />Print Name
<br />STATE OF INDIANA ) By:
<br />) SS:
<br />Action Development, Inc.
<br />Harold Byars, President
<br />COUNTY OF ST. JOSEPH )
<br />a Notary ublic in and for said county, in
<br />the state aforesaid, DO HEREBY CERTIFY THAT 1C'M,gs //1-1�, 61Sr C G�
<br />personally known to me to be the same person whose 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 />volUnta3;y act and deed for the issues and purposes therein contained.
<br />,.,, Given under my hand and official seal this the c!
<br />1.1 199 day of
<br />0:ii;, �'. i-�1. i`ib�.3?V ,•h,rJ:: t; 'li j I,�:� �i:� !�f L
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<br />•�''y ?'1�'S�:I�'•F3ni C� :ii..:�5;::;i'1 �f�il� ili �
<br />NOTARY BLIC
<br />My' $Sion Expires.
<br />• �\.ilia
<br />This instrument was prepared by Anne Bruneol,'Asslstdnt City Attorney,
<br />C:\dots\Consent.frm ; 1400 County -City Building, South Bend, IN 46601.
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