#3248- Deed; CONSENT TO ANNEXATION-WATER Lot 285 Town of Maple Lane Subdivision - NW Corner of Northern Ave and Bulla Rd.

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Sep. 16. 2008 10:28AM BRD PUB WORKS & SAFETY No. 3525 P. 2/2 3. y8 RECORDED AS PRESE11TED 011 ]-Told Recorded copy for: Board of Public Works 10/13/2008 02:3 :14PVI TERR:I J. RETHLAI!E ST. JGSEPPI C00TY RECORDER REC FEE: $12.00 PAGES: 1 CONSENT TO ANNEXATION, WAIVER OF RIGHT TO REMONSTPATE AND ACKNOWLEIDGMENT OF CITY COMPACT FEES 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. Joseph County, Indiana. Key #002-2075-3461 Lot 285 Town of Maple Lane Subdivision - N/W corner of Northern Avenue and Bulla Road, St Joseph County, IN. WATER Q1yX.X Joseph E and Linda L. Vicsik 54301 Northern Avenue Mailing Address: Same South Bend, In 46635 Joseph E and Linda L. Vicsik, owners 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 funkier agrees that any deeds, contracts, or other instrtxments of conveyance made by Owner, their successors or assigns shall contain the waiver and release provisions contained herein, which provisions shall tun with the land. Pursuant to Chapter 17, Article 10, Section 17-86 of the South Bend Municipal Code, Owner further acknowledges and accepts the Owner's obligation to pay a compact fee annually to the City of South Bend which for one municipal utility (water or sewer) is (water and sewer) is 50% of such rate differential, which rates are set forth in the St. Joseph County Auditor's annuafly published "Notice of St. Joseph County Certified Tax Rates. The delivery of any instrument 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. Linda L. Vicsik. STATE OF INDIANA ) ) SS. COUNTY OF ST JOSEPH ) Before me, a Notary Public in and for said County and State, personally appeared Joseph E and Linda L. Vicsik, and they acknowledged the execution of the foregoing Consent to Annexation as their voluntary act and deed. WTTNESS my.hand and Notarial Seal this Day of �-P� Led!" 2008. ritteu Signature) A.P FR O `►' L 0 Board of 2"ublic Work -- to �RIAL M U ER NOTARY PUBUC In St. JOWph CD=ty, IN CT ;x t • ±A 7 sA�ent of - —EVIM 2-22-2016 My Commission. Expires: I affirm, under the penalties for perjury, that I have taken responsible care to redact each Social Sean* number in this document unless required by law: Anthony P. Molnar This instrument was prepared by Aladean DeRosc, Assistant City Attorney, 1400 County -City Building, South Bend, Indiana 46601. F:IpATA1S}TAREIENOI.NEERIWPDATAICONSENTCOM. tvpd