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� �� ; ���.� <br /> RESIDENTIAL - OCCUPIED <br /> PETITION FOR ANNEXATION <br /> TO THE HOIYORABLE MAYOR AND CITY COUNCIL OF THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfully represents as follows: <br /> 1. That he/she is an owner of record,or an elector(person registered to vote)residing therein,of all the property 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 petition. <br /> 3. That the property herein described is not within the corporate limits of any municipality. <br /> 4. That the property herein described is contiguous(adjacent)to the City of Decatur. <br /> s. That only the following listed adult person(s)(over 18 yeazs of 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 initial.) <br /> 7F�.�.y � , GaE�,� <br /> 1-I�r�N k, �,�� <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2580 Forest Crest <br /> Drive,and legally described as follows: <br /> THE NORTH 104 FEET OF THE WEST 250 FEET OF THE SOUTH 2.25 ACRES OF THE NORTH 15 <br /> ACRES OF THE WEST'/Z OF THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER OF SECTIOId <br /> 29,TOWNSHIP 16 NORTH, RANGE 2 EAST OF THE 3RD P.M. <br /> PIN# 17-12-29-42b-008 <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 /> SI NAT PRINTED NAME STREET ADDRESS,CITY.STATE � <br /> [�C.J"�- J E Q-IZY �, �Qf��ti1 ..Z..�$� 5. �u2kSi �icrtsr��1 (d F�corN�- <br /> S� <br /> �E�� <br /> �.E'� ' f-�,J �.s~�a�";F�zFs�' L�.��s7���� ..<�.� <br /> Sigrted and sworn to before me this �1 day of /' tC`��'1 ,20 /� <br /> G�r�`. � ��%-�-�'��51�-Q�l <br /> Notary Public <br /> (Rev. 12l2014) OFFICIAL SEAL <br /> TARA R BACHSTEIN <br /> Notary Pubilc—State of Illinois <br /> My Commission Expires May 12,2019 <br /> Exhibit A <br /> ! <br />