Consent to Annexation - 51608 Duncan Dr. – Water-Sewer

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II III (II� II IIIIfI ill) l ( 2020-03944 8 1 6 2 1 1 6 RECORDED AS PRESENTED ON TX:4100784 s 021LI12M o; Do PM Hold Recorded copy for: Board of Public Works MARY aETH wrSNrEWSKI CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE 'OSIEPH RECORDERUNTr AND ACKNOWLEDGMENT OF MISCELLANOUS CITY FEES PGS: 1 FEES: 25.00 In consideration for permission to tap into the municipal utility system (water and/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 in St. Josenh CnnnrU Property Owner 1 Property Address Tax ID1Key # Property Description Mailing Address 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 fatriher agrees that any deeds, contracts, or other instruments of conveyance made by Owner, their successors or assigns shall contain the 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 wastcwater service. The delivery of any insi rument 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. BOARD OF PUBLIC WORKS APPROVAL (Prtilaen�Owner ignature) Ca " D" Gilot Prtxidenl ..�u "IE Property Owner (Print Name)tat A� Jordtah (" theas, Mcm er °,� E, iratbeth Maradik„ Member 4 " 1 Therese Dorau, Member +tscph Nl4thaa Date: d Date: STATE OF INDIANA ) COUNTY OF ST JOSEPH ) SS: Before me, 'Potalyap Public in appeared n �/r vary and for said County and State, personally _._ Annexation as his voluntary act and deedsd �? ._."' — and he acknowledged the execution of the foregoing Consent to w r ; y h n� and Notarial Sett this Day J a / of u w 1 2020. 15i aaaaure) A resident of ✓ fc. jI (Printed Name) r My Commission Expires: 7 " ,q .a L.unac 5sggawcd nIuw. D t)unxa&ytii.osghrtenm sanl.- A� f KELLEN JOHN VAN HUI.LE, Notary Public AL . W11h1n and ttm the CoUr ly Of St and that Stale of lndiana V 1 R 10