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�: �si �: 1� <br /> RESIDEN7'dAL - OCCi/PIED <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 properiy herein <br /> described. <br /> 2. T'hat 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 /> 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 name of each adult person residing in the property to be annexed,including middle initial.) <br /> � �s� � � � ,,_ _�. <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3040 Dannv <br /> Drive,and legally described as follows: <br /> LOT TWELVE (12) OF SOUTHERN MEADOWS ADDITIGN <br /> PIN# 17-12-34-204-002 <br /> WHEREFORE,petitioner(s)reyuest(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 NATURE ;� PRINTED NAME STREET ADDRESS, CITY, STATE <br /> _r <br /> , . nI , , `.....---� _ <br /> �e L � , �, �, .r.. <br /> � � i� t ' ��r r$ , T� ` � �:!��r�c -..�L�.. <br /> ! ;i J.,�+..,�� } <br /> 4y A.. / <br /> 6 <br /> Signed and sworn to before me this �� da of�t, 2p� <br /> Y a <br /> ��.���1�� �° ��i�'v�r%i.�L'�I-r' <br /> Notary Public �� <br /> (Rev. 12/2014) �' "� — " - <br /> NAOMIR. BURCHAM <br /> OFFICIAL SEAL <br /> Notary Pubiic-State of lllinois <br /> My Commission Expires Mar.20,2023 <br />