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B�x�C: 4�i8� Pac�e: f 7�► <br /> RESIDENT'd�dL - O�CU�I�ID <br /> PETITIt�N�UR A,NATEXATICIN <br /> T'�THE HONORABLE MAY4R AND CITY C9��JNCII,C3F THE CITY QF 1}ECATUR,ILLINO�S: <br /> The undersignad, under oath,respecifully represents as follows: <br /> 1. That helshe is an owner of recard,or an elector(person registered to vote)residing therein,of all the properEy herein <br /> described. <br /> 2. That at least S 1°lo af the eiectors(pers4n(s}registered to vote)who reside an the property herein described have signed <br /> and do jain in the peTition. <br /> 3. That#�e praperty herein dascribed is nat within the corporate limits of any municipality. <br /> 4. That the property herein described is contiguaus(adjacent)to the Cify of Decatur. <br /> 5. That anly the following listed adult persan(s)(aver 18 years of age)reside in the property ta be annexed.(Please list <br /> the name of each adult person residing in the property to be annexed,including middle initial.) <br /> :..��a,t`c��.� 1� �€:;,.�1.�, .• a� <br /> 6. That the petitioner(s)request;s)that the Gity of Decatur,annex the property camrnonly described as 2964 Dannv <br /> Drive,and legaliy described as follows: <br /> LC?T FlVE (5} QF SCl!lTHERN MEADOWS ADDITION. <br /> PIN # 17-12-34-202-Q03 <br /> 'rV�-?Ei2.���P.E,�;�iiti�n�r(s):equesc(s)the above described pxoperiy be annexed to the City oi Decatur,in accordance <br /> with the Statutes in such case made and provided. <br /> �IGNATLTRE PRINTED NAME STREET ADDRESS, CITY,STATE <br /> .;,1 ,�'` `� �. .'f` , ,,,� "•.'� .. y "i . %. ' '�:,.(, ���} ;.�X �t'��'.�t-'`�i''is'r��C.l� ��i <br /> ,1�'-- '�-- , '�.�� ;'ti�?. s"4 �.,:..� _. ,J�� �} - . ; � _^' � A <br /> a <br /> �� `' `i. — ' � ' c,� •� <br /> �`V,.C...L..:4` 'E:v�t..'�:J ..� ...- �-� �' <br /> 1, <br /> a '{e � f <br /> Signed and sworn to before me this . ay a�_ � `�2 � <br /> � ` � ��:� � <br /> Notary ublic � <br /> � .._ <br /> (Rev. 12/2014) ""~� <br /> ' — — " • --. <br /> DENNIE MtCHEIlE HARVEY <br /> Oiiicial Sesi . <br /> Natary Public•State o#lliinois <br /> My Commissian Expires Nov 2g,zQ2p <br />