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• � �]71. � .� � � �� l It
<br />South Bend Board of Public Works
<br />Room 1306, County -City Building
<br />South Bend, Indiana 46601
<br />APPROVED
<br />Board of Public Works
<br />4 ss
<br />CONSENT TO ANNEXATION AND / �„-.--- ✓ f-- ��,,�/
<br />WAIVER OF RIGHT TO REMONSTRATE/
<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. ��\ Va Rd� MW7' 1a11 -
<br />�5 FDA D_�a� S,--CAL0�r\
<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: a�_ ��
<br />r I L
<br />09'VI '96Print Name:
<br />SF. 1:';,,i=''i CO.
<br />Iid,�I�,. A
<br />FILED 1_0R ; ECORD
<br />STATE OF INDIANA )
<br />) SS:
<br />COUNTY OF ST. JOSEPH }
<br />15,gt,lac� sy�__NM7 \�'R,
<br />Sc, V{ \ -�?, C,�_ I � 4 � (4,
<br />a Notary ublic. in and for said county, in
<br />the state aforesaid, DO HEREBY CERTIFY THAT �•» j1 �FZ c _� -O K
<br />personally known to me to he the came r,crscn l..,hose name is subscribed tc t _he
<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 Rt
<br />C7�S'x , 199Lo. day of
<br />My Commission Expires:
<br />This instrument was , south
<br />County -City BuildingpSout
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<br />y.pf. •° -t k%' NOTARX PUB
<br />� iA e' Bruneel,
<br />h tr1d,5ff' 46601.
<br />Assistant City Attorney, 1400
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