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�: �I�1���: �.+8�'V <br /> RESIDENTIAL - OCCUPIED <br /> PETITI4N F4R ANNEXATIQN <br /> • � <br /> TO THE HONORABLE MAYOR AND CYTY COUNCIL UF THE CITY dF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectFully represents as faltows: <br /> 1. That heishe is an owner af record,ar an eiector�person registered to vate}residing therein,af all t6e praperty herein <br /> described. � <br /> z. That at least S 1%of the electors(person(s)registered to vote)wha reside on the property herein described have signed � <br /> and da join in the petition. <br /> 3. That the praperty herein described is not within the corporate limits of any rnunicipality. <br /> a. That the praperty herein described is cant'rguans(adjacen#}ta the City of Decatur. , <br /> 5. That only the follawing listed adult persan{s)(over 18 years c�f age)reside in the property to be annexed.(Please list <br /> the name of each adult person residing in the praperty ta be annexed,including rniddls initial,) <br /> � <br /> �lU� lV �uA/!! ��LU t Ci�' <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly dascribed as 4123 North <br /> Woodlawn Avenue.and legally described as follaws: <br /> LQT�t7F COOPER'S FlRST SUBDIVl510N <br /> �� <br /> P1N# 07-07-28-329-OOS � <br /> WHEREFORE,petitianer(s)request(s)the abave described praperty be annexed to the City of Uecatur,in accordance <br /> with the Statutes in such case made and pravided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS CITY STATE ' <br /> `}� �,:� �,�.� ,�� j�,�l�i ��,�! �,! �d�u=��t�.,� �/.'�3 1�/, W G�e�.f t�f,►lfj Z�3�'e A��lt K1.�1� �,�,So"�, <br /> Signed and sworn to before me this�day of� U� ^ ,20 14 �I+ <br /> . , G. <br /> Notary Public <br /> (Rev. 12/2414) <br /> OFFICIAL gEAL <br /> JERI K MCNAMAHA <br /> NOTARY PUBL,IC,STATE OF ILLINQIS <br /> MY CflMMISSIQN EXRiHES APR.14,20Q3 <br /> Exhibit A <br />