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Hold for <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 />ermission to connect to the <br />In consideration for p <br />of South Bend, Indiana, to provide water service to <br />City <br />,';;property, {hereinafter referred to as the "Real Estate"), <br />�Eounty, Indiana: <br />APPROVED <br />Board of Public Works <br />N <br />the following described <br />situated in St. Joseph <br />Key Nos. Olj IC)' \ cJ- o<3�j hl irlT <br />Lod q <br />is :il G� p V\ c>r -,- <br />owner of the Real Estate, {hereinafter "Owner"), for itself and its successors <br />and all <br />in title and assigns, waives and releases any right which it may now or <br />hereafter have to remonstrate against <br />orotherwise of the Real bjecEstate rbyethezCitytof <br />or oppose any pending or future annexation <br />th Bend <br />Sou <br />In further consideration and to induce the City of South Bend to alf <br />Owner, or <br />owner to tap into the public water main of the City of South Bend, of <br />itself and its successors and assigns, agrees hereby to vest in the City <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. f <br />Owner further agrees that any deeds, <br />conveyance made by Owner, its successors or <br />rs which <br />release provisions contained herein, <br />contracts, or other instruments o <br />assigns shall contain the waiver and <br />provisions shall run with the land. <br />The delivery of any instrument ofconveyance from <br />ubject to <br />successor, grantee, vendee or contract purchaser <br />oacceptance of such instrument shall consti <br />document and the the foregoing provisions by said grantee, vendee, or,co� their successors in title. <br />BY: <br />4. <br />!v� C <br />STATE OF INDIANA <br />COUNTY OF ST. JOSEPH <br />p�xi•nt o Name : <br />c, ;n 11,6 `9a <br />S§. .I i;0. <br />F11_FU�1R RECORD <br />the Owner to any <br />the terms of this <br />-...�}to an acceptance <br />rXct purchaser and <br />J V/ <br />CrOS:viC/� <br />` ` <br />I A 7O�S11 a Notary public i.�nl and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT t'AU�1 <br />he same person whose name is subscribed to the <br />personally known to me to be t <br />foregoing instrument, appeared before me this day in person and acknowledged <br />as their/his/ber <br />that they/he/she deed for the issuesecuted the rng andlpurposesttherein contained. free and <br />voluntary actct and <br />Given under my hand and official seal this the Q� day of <br />y� 199- <br />NOTARY PUBLIC <br />My Commission Expires: <br />,w 5 <br />This instrument was prepared by Anne Bruneel, Assistant City Attorney, 1400 <br />County -City Building, South Bend, IN 46601. <br />c:\dots\conaenr.frm <br />