HomeMy WebLinkAboutConsent to Annexation - 18455 Forest Glade Dr. - Water-SewerM
1316 COUNTY -CITY BUILDING �
PHONE 574/ 235-9251
227 W. JEFFERSON BOULEVARD
FAx 574/ 235-9171
SOUTH BEND, INDIANA 46601-1830
" "
16
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
March 10, 2020
Mr. Douglas M. Konieczny
P.O. Box 1088
Granger, IN 46530
RE: Consent to Annexation, Waiver of Rights to Remonstrate and
Acknowledgement of City Compact Fees — 18455 Forest Glade Dr.
Key No: 002-1014-0304 Water/Sewer
Dear Mr. Konieczny:
The Board of Public Works approved and recorded the above referred to document with the St.
Joseph County Recorder's Office on March 10, 2020. A copy is enclosed for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. 611.DI, ELIZ,ABEI'Nl A. MARADIK ORAU J ROAN V. + A 11rTS Josi::ni R.Mo1-NAft
8 1iuud n �
Hold Recorded copy for: Board of Public Works
2020-06741
RECORDED AS PRESENTED ON
03/10/2020 02.:22 PM
MARY BETH WISNIEWSKI
Si. 7OSEPH COUNTY
RECORDER
PGS: 1 FEES: 25.0o
CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE
AND ACKNOWLEDGMENT OF MISCELLANOUS CITY FEES
In consideration for permission to tad) into the municipal utility system (water tlnd/or sewer) of the city of South Bend,
Indiana, in order to provide sanitary sewer and/or water service to the following described property, (hereinafter referred
to as the "Real Estate"), situated ill St. Joseph County, Indiana.
Property Owner 1
Property Address
Tax ID/Key #
Property Description
Mailing Address
v 1 ®3.7
owner(s) of the Real Estate, (hereinafter "Owner"), for themselves and their successors in title, assigns, and personal
representatives, hereby irrevocably waive and release any and all right which they may now or hereafter have to remonstrate
against or otherwise interfere with, or oppose any pending or future annexation of the Real Estate by the City of South Bend.
In further consideration and to induce the City of South Bend to allow Owner to tap into the municipal utilities (sewer and/or
water) of the City of South Bend, Owner, for themselves and their Successors and assigns, agrees and stipulates irrevocably to
vest in the City of South Bend the permanent right, at the City's discretion„ to annex the Real Estate at any future time by duly
authorized ordinance.
Owner further agrees that any deeds, contracts, or other instruments ofconveyance made by Owner, their successors or assigns
shall contain trite waiver and release provisions contained herein, which provisions shall run with the land.
Pursuant to Chapter 17, Article 10, Sections 17-79 and 17-80 of the South Bend Municipal Code, Owner acknowledges
and accepts the Owner's obligation to pay a wastewater and water system, development charge based on expected usage.
Further, the Owner acknowledges and agrees to pay the applicable surcharge established under Chapter 17, Article 10,
Section 17-81 for wastewater service.
The delivery of any instrument of conveyance from the Owner to any successor, grantee, vendee or contract purchaser is subject
to the terms of this document and the acceptance of such instrument shall constitute an acceptance of the foregoing provisions
by said grantee, vendee, or contract purchaser and their successors in title.
Pro ( perry Owner 1 Signature)
rOPCn),Owner (Print Name)
Date: r [ a ),c ! a'� 2-w--c
BOARD OF PUBLIC WORKS
AP['�i0 A1, j
Gary A. Gilot, President
Jor j ttt V Gathers, Ment or1. eth A. Ma hk Merrt¢hc;r
Therese J, Dorau, Me tr
R Molnar, Member
Date: c G0
STATE OF INDIANA )
SS:
COUNTY OF ST JOSEPH )
Before me, a Notary Public in and for said
appeared ..) ��
nd he acknowledged the ew
Annexation as his voluntary and deed. NES n hand an 'olarial Seal thi Day ofj&r chh
w f,Si!°,nrzNa¢r�y
A resident of
(Printed Name)
My Commission Expires:
Notary Public
A Resident of St Joseph County, IN
Commission No. 684431
My Commission Expires 04/28/2024
9 �ofiiresa" oaati<.r tiv, o ttlaatA, or r�pa.rv. ttba2 l l e�kcn er.euaa�aatyl�, aa7.�.t<w r,�aA:.t. cacffia �art�i¢ad'S city rurvrtr, es i c S7 acaa,°�t,�rat��'�rr,.
tag}e�h.LA¢J r e ,
I'�a�¢¢a4irtant�rn a+1a�,"ra"d'_�"xtadeartt7rNte�,(,,�uCvrOt,ryreF�Y.t..i��:�'�c.?:unt-.sttil3uo&dda» irrrakt,t�rr¢ei,�,¢iaaaadnY�11,
V 1.8.19