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Tx:4101807
<br />Hold Recorded copy for: Board of'Public Works I ' . 2020-05229
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONST]"DED AS PRESENTED ON
<br />AND ACKNOWLEDGMENT'OF MISCELLANOUS CITY FEES MDCW0j Vq1s,W1EWSK,1
<br />02�2s',2020 �,i!52 PM
<br />In consideration for permission to tap into the municipal utility system (water and/or ARY sewer) ofthe ciity&�9BIldivigaid,
<br />Indiana, in order to provide sanitary sewer and/or water service to the following described property, (hcreffiftff%&rrcd
<br />to as the "Real Estate"), situated in St. Joseph County, Indiana, PGSI tZES; 25X0
<br />Property Owner 1
<br />Property Address
<br />Tax ID/Key ft
<br />Property Description
<br />Mailing Address
<br />TER ER
<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 ofthe 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 stitiukfes, irrevocably to
<br />vest in the City of South Bend the permanent right, at the City 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 instrument ofconveyance from the Owner to any successor, grantee, vendee or contract purchaser is subject
<br />to the terms of thus document and the acceptance 01'such instrument shall constitute an acceptance ofthe foregoing provisions
<br />by said grantee, vendee, or contract purchaser and their s4c,cessorg , in title,
<br />G.., �mia.'uo
<br />Y
<br />Property Owner (Print Name)
<br />BOARD OF PUBLIC WORKS APPROVAL
<br />Gary Gilot,' ms�dcu
<br />Jordi ,
<br />M.mbc,
<br />11aradik, MCniber
<br />MoInw, Member
<br />Date: Date: -z24- 51-z, d.
<br />STATE OF INDIANA
<br />COUNTY OF ST JOSEPH SS:
<br />Before me' a Notary Public in and for said
<br />appeared_ TrCLALI.. - County and State, personally
<br />0 -M-49-r— — -_ and he acknowledged the execution
<br />AnneKationashis volu act and deed Of the foregoing Consent �p
<br />du d Seal this
<br />Day o 20,
<br />Si
<br />A resident of
<br />(Printed Name)
<br />MY Commission Expires: 4--'.
<br />dt.4
<br />E} t,;v-
<br />V 1 . 19
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