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for: South Bend Board of Public Works APPROVED <br />Room 13(8, County -City Building $°ard Of Public Works <br />South Bend, Indiana 46601 <br />n i J N O,U,710-A 0W <br />CONSENT TO ANNEXATION AND <br />WAIVER OF RIGHT TO REMONSTRA <br />In consideration for permission to connect to the publiQ/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. <br />5q b0 apt, -A- r (n i r\ <br />5ecIho� (�N <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 />By: <br />�/. U� i l: �� :. �t• liy y�� <br />�� Print Name: <br />OS F1IA b _- <br />5 <br />RUGRD <br />STATE OF INDIANA ) <br />) SS: <br />COUNTY OF ST. JOSEPH ) <br />CsN-�htia C . \�\\� N111L 1 <br />S gboo <br />a Notary public in and for said county, in <br />the state aforesaid, DO HEREBY CERTIFY THAT C� <br />personally known to me to be the same person •:hose 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 hand and official seal this the -ice~ day of <br />-c — 199(-. <br />NOTARY PUBLIC <br />My Commission Expires: <br />\,\ - ate\ <br />This instrument was prepared by Anne Bruneel, Assistant City <br />County -City Building, South Bend, IN 46601. <br />C:%doea\Consene.frm <br />r <br />'' o 611 <br />�,w-�;�,� <br />• <br />SOH �. <br />Attorney, 1400 <br />