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B�ar�lc: 4l5►?8 P�ge: 663 <br /> RESIDENTIAL - OCCUPIED <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 /> l. 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 /> �t. That the property herein described is contiguous(adjacent}to the City of Decatur. <br /> 5. That only the following listed adult person(s)(over 18 years of age)reside in the property to be annexed.(Please list , <br /> the narrte of each adult person residing in the property to be annexed,including middle initial.) <br /> � �� C�T L- f=G:s�`T �� <br /> G��. tc .� --� � r� �{ <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3010 Dannv <br /> Drive,and legally described as follows: <br /> LOT NINE (9) OF SOUTHERN MEADOWS ADDITION <br /> PIN# 17-12-34-204-001 <br /> WHEREFORE,petitioner(s)request(s)the above described property be annexed to the City of Decatur,in accordance <br /> with the Statutes in sucli case made and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE <br /> _���� rt � �d��i,t L G-��"�r'd( ���U S �j l��e�� fJ � <br /> �jG e..-��>5�a2��� �.A o.C._ L Fa��lZ a..�o/c� .�. .�RNc7 � .�Q . <br /> � <br /> Signed and sworn to before me this��'�1 day of � ` 20 �"( <br /> NAOMI R. BURCHAM ����'�-' � • f'��2��'L� <br /> OFFICIAL SEAL Notary Public <br /> Notary Pubfic-State of iilinois <br /> (Rev. 12/2014) My Commission Expires Mar.20,2023 <br />