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Hold Recorded copy for: Board of Public Works
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE
<br />�I� I ei enrr o rr
<br />Tf"r rn.AQQIQ
<br />A «'"WOW I
<br />ttr(':Orzr)F-D AS Pl'IESrNTE' t>�
<br />AND ACKNOWLEDGMENT OF MISCELLANOIJS CITY FEES 0-1f7G1/701B 02!33 P14
<br />In consideration for permission to tap into the municipal utility system (water and/or sewer) of the city of South'f &0 SE-, r WT,5NT'twtl sKT
<br />Indiana, in order to provide sanitary sewer and/or water service to the following described property, (hereinafter referry ,10SEPH iC:C)4JN""
<br />to as the "Real Estate"), situated in St. Joseph County, Indiana. rtUCO Rt'JE11
<br />Property Owner I
<br />Property Address
<br />Tax ID/Kcy4
<br />Property Description
<br />Mailing Address
<br />Rocky Cieerls ra, w: t Frr s*. 25,00
<br />53098 Summer Breeze Dr. South Bead IN 46637
<br />owners) of the Real Estate, (hereinafter "Owner"), for themselves and their successors in title, assigns, and personal
<br />representatives, hereby irrevocably waive and release any and all right which they may now or hereafter have to remonstrate
<br />agannst or otherwise interfere with, or oppose any pending or future annexation of the Real Estate by the City of South Bend.
<br />In further consideration and to induce the City of South Send to allow Owner to tap into the municipal utilities (sewer and/or
<br />water) of the City of South Bend, Owner, for themselves and their successors and assigns, agrees and stipulates irrevocably to
<br />vest in the City of South Send the permanent right, at the City°s discretion, to annex the Real Estate at any future time by duly
<br />authorized ordinance.
<br />Owner further agrees that any deeds, contracts, or other instruments ofconveyance made by Owner, their successors or assigns
<br />shall contain the waiver and release provisions contained herein, which provisions shall run with the land.
<br />Pursuant to Chapter 17, Article 10, Sections 17-79 and 17-80 of the South Bend Municipal Code, Owner acknowledges and
<br />accepts the Owner's obligation to pay a wastewater and water system development charge based on expected usage. Further,
<br />the Owner acknowledges and agrees to pay the applicable surcharge established under Chapter 17, Article 10, Section 1.7.81
<br />for wastewater service.
<br />The delivery of any instrument of conveyance from the Owner to any successor, grantee, vendee or contract purchaser is subject
<br />to the terms of this document and the acceptance of such instrument shall constitute an acceptance of the foregoing provisions
<br />by said grantee, vendee, or contract purchaser and their successors in title.
<br />(P,ercey Owner I Signature)
<br />Property Owner (Taint Name)
<br />Date: -7—
<br />1i(iARIJ ' PLD13t,.CC tW8312 .
<br />(•�APP L /
<br />(nary A. Cai t, P' esidentAhl
<br />i
<br />�nzaiin lr�,. e ,tM'elnbe�
<br />Elizabeth A.. Maradik, Member
<br />Therese J. Dorau, Member
<br />James A. Mueller, Member
<br />Date:
<br />STATE OF INDIANA )
<br />) SS:
<br />COUNTY OF ST JOSEPH )
<br />Before me, a Notary Public in and for said County and State, personally
<br />appeared and Ile acknowledged the execution ofdie foregoing Consent to
<br />Annexation as his voluntaryact and deed. » p
<br />Wr"r' _ nay �atd and an Seal [leis Day of
<br />Christina Devon
<br />Signaturre) «,,,,,,,�„
<br />Notary Public
<br />EAL
<br />wi t .3 Ar'4; Ile e r� I A residence of Rt h County, STATE OF 9Np
<br />(Printed Name) My Commission Expires:
<br />affirm under the Denalties for periury,that I have.. taken.reasonable care to redact each Social Security number in this document unless r uired 4 atv.
<br />This instniment tiers area ared by Madesn Deltosc City Attocnew 1200 Crrnnty-City 1?,aeFldrng. South Fiend. Pnd'iana 4560t.
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