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Hold for: South Bend Board of Public Works APPROVED <br />Room Board of Public Works South lBend, CIndiana i46601ty ilding <br />i/"4 99% <br />�.;:. CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRATE <br />\. 1 / <br />In consideration for permission to connect to the public / water main of the <br />1,'.: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. O� i�J", �y J�a� `� r `C 1-5 rn / <br />` Lo+ 1 71 <br />(o(D x Gid ` per, G ! 5 o vim` -h r ca al j <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, venwse, or contractf cha er and <br />their successors in title. <br />B y : <br />Print Name: <br />� <br />STATE OF INDIANA <br />COUNTY OF ST . J•OSEPH ) +g6 <br />1� Q� jail <br />I, �uSR� !� ��li� �1 at Nptt ry public i and for said county, in <br />the state aforesaid, DO HEREBY Ci R�'h��R l k? " �\�� <br />personally known to me to be the s�i?1e Pr"son whose name is s)zbscribed to the <br />fozegoi.rig j.nstrwment. ere me this day in person and acknowledged <br />that thEy/he/�rie executed the foregoing instrument as the 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 />OPJ 199 to . <br />NOTARY PUBLIC <br />My Commission Expires: t+ ; <br />This instrument was prepared by Anne Bruneel, Assis 4 trtoko " 1400 <br />County --City Building, South Bend, IN 46601. , '•., '`�r .' <br />C:ldocsNccnsont.ftm <br />•.......... <br />r, <br />