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I�►Ic: �i8� P��age: �7i <br /> RESdDENTIAL - OCCUPIED <br /> PETITItJN F4R ANNEXATICIN <br /> T�7"HE HONORABLE MAYQit ANlL1 CITY Ct}UNCIL C}F THE C�TY OF DECATUR,ILLINOIS: <br /> The undersigned,under aath,respectfuliy represents as follows: <br /> 1. That he/she is an owner of recard,or an elector(person registered ta vote)residing therein,of all the properiy herein <br /> described. <br /> 2. That at least 5 I°la of the electors(person(s}registered to vate)who reside on the property her-ein described have signed <br /> and do jain in the petition. <br /> 3. That the property herein describec!is not within the corpc>rate limits of any municipality. <br /> a. Thaf the property herein described is contiguous{adjacent}to the City af Decatur. <br /> 5. That only the follawing listed adalt person(s)(over 1$yea�rs af age)reside in the properky to be anrtexed.(Please list <br /> the narne of each adult person residing in the property to be annexed,inctuding middle initial.� <br /> t i <br /> �.��(.� y";t`'�. lf �,: !—f c� �-��t,! � <br /> � <br /> 6. That the petitianer(s)request(s)that the City af Decatur,annex the property commonly descxibed as 2381 Baker Lane, <br /> and legally described as follaws: <br /> LC?T SIXTY-SIX(66}{?F WILGtJX WAYSIDE FARMS ADDITtON <br /> P1N# 04-12-OS-305-017 <br /> WHEREFt3RE,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 pravided. <br /> SIGNATURE PR.INTED NAIYIE STREET ADDRESS, CITY,STATE <br /> '� �/ �- � �S—�...., h.r,+�.��ri Cs �. �t�/"`.� �:.h��"v 1 ,M1 �"_�C',� 'J �.,,, L3 4;ii."6'.}J� �L+-- <br /> �s <br /> � <br /> Signed and sworn ta before me this � � day c�f ��� ,20 �� <br /> Notary Public <br /> (Rev. !2l2414) OFFIC AL •r•�• <br /> Ct�URTh1EY WALDEN <br /> Notary Pctblic-State of!!linois <br /> My Gotrtmissivn Expires 7117i2019 <br />