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Hold Recorded copy 'for:
<br />RECORDED AS PRESENTED ON
<br />01/05/2007 11:26:58AM
<br />TERRI J. RETHLAKE
<br />ST. JOSEPH COUNTY
<br />RECORDER
<br />REC FEE: $13.00
<br />PAGES: 1
<br />of PubliVWorks
<br />0653 1 6':—)
<br />RECORDED AS PRESENTED ON
<br />12/12/2006 01:33:44PA
<br />TERRI J. RETHLAKE
<br />ST. JOSEPH COUNTY
<br />RECORDER
<br />REC FEE: $12.00
<br />PAGES: 1
<br />CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTRATE
<br />AND ACKNOWLEDGEMENT OF CITY COMPACT FEES
<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 # 02-2075-3485 — Lots 229, 230 and 231
<br />Maple Lane Subdivision. North of SR 23 on
<br />West side of Northern Avenue.
<br />Glenn L. and Teresa A. Davis
<br />54405 Northern Avenue
<br />South Bend, IN 46635
<br />APPROVED
<br />Board of Public Works
<br />WATER ONLY
<br />Mailing Address: Same
<br />Glenn L. and Teresa A. Davis, owner 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 />demonstrate 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 />Joseph County 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 />Glenn L. Davis
<br />Teresa A. Davis
<br />I affirm, under the penalties for perjury, that I have taken
<br />responsible care to redact each Social Security number in
<br />this do �mjent unItskrequired by law:
<br />STATE OF INDIANA ) (I -A n,e-1 5
<br />SS:
<br />COUNTY OF ST. JOSEPH )
<br />Before me, a Notary Public in and for said County and State, personally appeared Glenn L. and Teresa A. Davis and they
<br />acknowledged the execution of the foregoing Consent to Annexation as thier voluntary act and deed.
<br />tc
<br />WITNESS my hand and Notarial Seal this S Day of 2006
<br />(Written Si ture)
<br />11V0,4 IV. &' 2,tle %
<br />Printed)
<br />A resident of St. Joseph County, Indiana.
<br />My Commission Expires: J 0 %(
<br />This instrument was prepared by Aladean DeRose, Assistant City Attorney, 1400 County -City Building, South Bend, Indiana 4660 L
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