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roldRecorded copy for: Board of Public Works <br />13 <br />RECORDED €7N <br />08/22/2005 02:50:45PM <br />TERRI 3, RETHLAKE <br />ST. 3OSEPH COUNTY <br />RECORDER <br />REC FEE: $3.00 <br />PAGES: 1. <br />CONSENTOAANNEXATION, WAIVER CKNOWLEDGEM ACKNOWLEDGEMENT OFOREMONSTRATE <br />CITY COMPACT FEES <br />AND <br />In consideration for permission to tap into the municipal utility system (water and/or sewer) of the city of South Bend, Indiana, in <br />order to provide sanitary sewer and/or water service to the following described property, (hereinafter referred to as the "Real Estate"), <br />situated in St. Joseph County, Indiana: <br />Key #02-2023-0544.09 Lot 3 and pt Lot 2 <br />Willowbrook Addition — Southeast Corner WATER ONLY <br />of SR 23 and Crestwood Blvd (30'" Street) <br />John F. and Patricia A. Koellner <br />17600 State Road 23 Mailing Address: Same <br />South Bend, IN 46635 <br />John F. and Patricia A. Koellner, owners of the Real Estate, (hereinafter "Owner"), for themselves and their successors in title, <br />assigns, and personal representatives, hereby irrevocably waive and release any and all right which they may now or hereafter have to <br />remonstrate against or otherwise interfere with, or oppose any pending or future annexation of the Real Estate by the City of South <br />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 water) <br />of the City of South Bend, Owner, for themselves and their successors and assigns, agrees and stipulates irrevocably to vest in the City <br />of South Bend the permanent right, at the City's discretion, to annex the Real Estate at any future time by duly authorized ordinance. <br />Owner further agrees that any deeds, contracts, or other instruments of conveyance made by Owner, their successors or assigns shall <br />contain the waiver and release provisions contained herein, which provisions shall run with the land. <br />Pursuant to Chapter 17, Article 10, Section 17-86 of the South Bend Municipal Code, Owner further acknowledges and accepts the <br />Owner's obligation to pay a compact fee annually to the City of South Bend which for one municipal utility (water or sewer) is 30% <br />of the difference between the "Total County Rate" of taxes and the "Total City/Town Rate" and for both municipal utilities (water and <br />sewer) is 50% of such rate differential, which rates are set forth in the St. Joseph County Auditor's annually published "Notice of St. <br />JosephCounty Certified Tax Rates. <br />The delivery of any instrument of conveyance from the Owner to any successor, grantee, vendee or contract purchaser is subject to <br />the terms of this document and the acceptance of such instrument shall constitute an acceptance of the foregoing provisions by said <br />grantee, vendee, or contract purchaser and their successors in title. <br />John F. Kolef .r:° Q4 <br />Patricia A. Koellner <br />- <br />STATE <br />COUNTY 13c ) <br />Before me, a No�a`ry Public in and for said County and State, personally appeared John F. and Patricia A. Koellner, and they <br />acknowledged the execution of the foregoing Consent to Annexation as their voluntary act and deed. <br />WITNESS my hand an4 Notarial Seal <br />(Written Signature) (J <br />PATRICIA L HAYES, WOrY Public <br />Printed} A „ismtclmn4 of % J�OQtspit County, I <br />my cmmE(r9tmn ExP vG4 NbV. 7, 2 <br />A resident of St. Joseph County, Indiana. <br />My Commission Expires: <br />AITROWED <br />Board of Public WotP;> <br />This instrument was prepared by Aladcan DeRose, Assistant City Attorney, 1400 County -City Building, South Bend, Indiana 46601. <br />F:\DATA\S1 IARnENGINr-ER\WPDATAICONSENTCOM Lwpd <br />