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ON
<br />RECORDED AS PRESENTED
<br />0-5/14/2019 11:15 AM 'Fx:4077868
<br />MARY SEFH WTSN'EWSKr
<br />ST. JOSEPH COUNTY
<br />RECORnER „
<br />Hold Recorded copy for: Board of Public Works Pus: 1 FEES: 25,00
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE
<br />AND ACKNOWLEDGMENT OF MISCELLANOUS CITY FEES
<br />In consideration for permission to tap into the municipal utility system (water and/or sewer) of the city of South Bend,
<br />Indiana, in order to provide sanitary sewer and/or water service to the following described property, (hereinafter referred
<br />to as the "Real Estate"), situated in St. Joseph County, Indiana.
<br />Property Owner 1 DIOCESE OF FORT WAYNE-SOUTH BEND INC
<br />Property Address 51080 LAUREL RD., South Bend, IN 46637
<br />Tax ID/Key # 002-1004-0065
<br />Property Description Lot A Laurel Rd Minor Sub 1st Replat 00-01 Set Up New Replat Per Trans 12538 2-15- 00
<br />Mailing Address 453 N. Notre Dame Ave., South Bend, IN 46617
<br />✓ WATER ✓ SEWFR
<br />owner(s) 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 />against 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 Bend 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 Bend 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 of conveyance 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
<br />acknowledges and accepts the Owner's obligation to pay a wastewater and water system development charge based
<br />on expected usage. Further, the Owner acknowledges and agrees to pay the applicable surcharge established under
<br />Chapter 17, Article 10, Section 17-81 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 />I;ProperTy Owner 1 tature;I
<br />Property Owner (Print N e)
<br />BOARD OF PUBLIC WORKS APPROVAL
<br />r
<br />Gary A. Gilot, President
<br />GenevicN F, Miller, l\lei tuber
<br />I e
<br />E rrabeth A. Maradik, Member
<br />'1"Iac,rc: J. T7orau, M��_
<br />. �.
<br />.alma L, O'Sullivan, McmhLr
<br />Date:
<br />STATE OF INDIANA )
<br />) SS:
<br />COUNTY OF ST JOSEPH
<br />Before rne, C m and for said County and State, personally
<br />appeareda Cwot Public and he acknowledged the execution ofthe foregoing Consent to
<br />Annexation as his voluntaryact and deed.
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<br />-"' PATRIMA LEGUERM
<br />Notary Public- Seal
<br />State of lcdiana
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