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�m ���.� ����� :��� <br /> RESIDENTIAL - VACANT <br /> PETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR AND CITY COUNCIL OF THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfully represents as follows: <br /> i. That he/she is an owner of record,or an elector(person registered to vote)residing therein,of all the properiy herein <br /> described. <br /> 2. That at least 51%of the electors(person(s)registered to vote)who reside on the property herein described have signed <br /> and do join in the perition. <br /> 3. That the propeny herein described is not within the corporate limits of any municipality. <br /> 4. That the properry herein described is contiguous(adjacent)to the City of Decatur. <br /> s. That only the following(isted adult person(s)(over 18 ysars af age)reside in the property to be annexed.(Please list <br /> the name of each adult person residing in the property to be annexed,including middle inirial.) <br /> 6. That the petitioner(s�request(s)that the City of Decatur,annex the property commonly described as�3 N.Countrv <br /> Club Rd,and legally described as follows: <br /> A part of the Southwest'/a of Section 9,Township 16 North,Range 3 East of the 3`d P.M.,described as <br /> follows: The North 90 feet of the South 220 feet of the East 160 feet of Lot Two(2)of Sheets <br /> Addition of Outlots to Decatur as per Plat recorded in Book 646,Page 302 of the Records in the <br /> Recorder's Office of Macon County,Illinois,except that part dedicated for roadway purposes currently <br /> known as North Country Club Road. <br /> P�t#09-13-09-301-004 <br /> WHEREFORE,petitioner(s)request(s)the above described property be annexed to the City of Decatur,in accordance <br /> with the Statutes in such case made and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS,CITY,STATE <br /> � � �c..� �� S R, <br /> ► � <br /> �i`�.` l.i'�'�' � �°Z'OU <br /> ��e�� ; '2 P.� .� �-�-e.-. <br /> �C r,c_.T+.n.�' r�C..._ ltj�.�"-�� <br /> _ _ Si ned and swom to before me this C�(��day of� S � ,20 l c� <br /> OFFICIAL SEAL �� ��_ <br /> NAOMIR. BURCHAM � � <br /> Notary Public-State of Illinois Notary Public <br /> � My m' ian Expires 2/11/2019 <br /> E�HIBIT A <br />