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�al�l(: 4+� t�: i�'► <br /> RESIDENTIAL - OCCtIPIED <br /> PETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR A1�TD CITY COUPTCIL OF THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfully represents as fotlows: � <br /> 1. That(�i 'she is an owner of record,or an elector(person registered to vote)residing therein,of all the property herein <br /> described. <br /> 2. 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 /> a. 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 properiy to be annexed.(Please list <br /> the name of each adult person residing in the property to be annexed,including middle initial.) <br /> � <br /> „ l�./41 � C, �. ,�U�� <br /> 6. That the petiJ'o er(s)requ (s th.t the City of Decatur,annex the property commonly described as i <br /> d �l�� ����i� ��if�l� ,and legally described as follows: ii <br /> �0 7-" /� Gt1lL �dx Lr�,���/,r,��= �"f����5 �.�� <br /> PIN#(y,/.�,2•d53d�.vG� � <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 /> � <br /> J f <br /> �c� `�� U �.' L — <br /> �/:-=�f��"'�.��,, .��'• �z✓� � <br /> , �� <br /> ��i/r-�'� .. <br /> Signed and sworn to before me this�@ da of �11`���, ,20� <br /> � <br /> .r , <br /> Notary Public � � <br /> OFFICIAL SEAL <br /> (Rev. 12/2014) JESSICA TAYLOR <br /> Notary Pubilc-State of Illinois ' <br /> My Commission F�cpires 7/12/2021 <br /> Exhibit A <br />