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�: ����: �i <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 /> 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 /> z. 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 tisted adult person(s)(over 18 years of age)reside in the property to be annexed.(Please list <br /> _ the name af each adult person residing in the property to be annexed,including middle initial.) <br /> ;��� Jl�tr �� <br /> �Q<t� ��!]- �i�tf �l1 <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commanly described as 2530 Forest Crest <br /> Road,and legally described as follows: <br /> THE NORTH 1.75 ACRES OF THE SOUTH 6.25 ACRES OF THE NORTH 15 ACRES OF THE WEST , <br /> HALF(W'/2) OF THE NOR7HEAST QUARTER(NE '/4)OF THE SOUTHEAST QUARTER (SE'/4)OF <br /> SECTION TWENTY-NINE(29)TOWNSHIP SIXTEEN (16) NORTH, RANGE TWO(2) EAST OF THE THIRD <br /> P.M. <br /> PIN# 17-12-24-426-006 <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 /> ` t '1 ifz `�' Su/l��/t .2 5�'� �.�Ns?� Cr�s T (�e cc,.t f L/� (,-?� <br /> , - <br /> t � �- _�',t ' ' 7Z. <br /> G�S'a 1 <br /> Signed and swom to before me this .��f" day of / `�_�_ ,20 �� <br /> � c�..�-�r�;� <br /> ' ��"`"------' NotaryPublic <br /> ►.7FFICIAL SEAL <br /> (Rev. l2/2014) �'AR.4 R BAGHSTEIN <br /> �^Jatary I'ubiic--State of iilinois <br /> � rv,u Commission Expiras May 12,2019 <br /> i .•���� <br /> Exhibit A <br />