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Hold for: South Bend Board of Public Works <br />Room 1308, County -City Building <br />South Bend, Indiana 46601 9636723 <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRATE <br />APPROVED <br />Board of Public Works <br />i J � <br />In consideration for permission to connect to the public 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. a�3���J Ll"y s <br />C05 _1 1 � <br />Lo -- L_1 <br />)�ok[ct,Y L4tLC_ zSi- Pro <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 �nnex the Real <br />Estate at any future time by duly authorized ordinance. / \�/ `-,. <br />"'1 . v , <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 <br />successor, grantee, vendee o <br />document and the acceptance <br />of the foregoing provisions <br />tu heir sccessors in title. <br />w <br />/y J <br />ti <br />J �J <br />:L <br />instrument of conveyance from the Owner to any <br />r contract purchaser is subject to the terms of this <br />of such instrument shall constitute an acceptance <br />by said grantee, vendee, or contra <br />t purchaser and <br />Print Name: <br />STATE OF INDIANA ) ����' 1 �� <br />S S :.c� <br />COUNTY OF ST . JOSEPH ) �t_6 /) <br />� n ��/LC� h � JY M re— .gyp d y. <br />I, ,r a Notar public in and for said cou�jt in <br />the state aforesaid, DO HEREBY CERTIFY THAT�`(i <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 />voluntary act and deed for the issues and purposes therein contained. <br />Given under my <br />{ L <br />My 'Co iss ion , Expires: <br />hand and official seal this the 0 day of <br />199�. <br />This instrument was prepared by <br />County -City Building, South Bend, <br />C:\doca%Consent, f rm <br />,0,9 <br />NOTARY PUBLIC <br />F7- — r.L4NCINE K DHOORI <br />NOTARY PUBLIC 5TAT2 OF INDIANA <br />ST. )OSEII-I COUNTY <br />IVY COMMISSION EY,P. APR.,7,4,1M <br />ti <br />Anne Bruneel, Assistant City Attorney, 1400 <br />IN 46601. <br />