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■ �m �41'�' <br /> RESIDENTIAL - OCCUPIED <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 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 properiy 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 /> �j� l���e.�; L • �Cty. �� , <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3070 Dannv <br /> Drive,and legally described as follows: <br /> LOT 13 SOUTHERN MEADOWS ADDITION <br /> P1N# 17-12-34-204-003 <br /> WHEREFORE,petitioner(s)request(s)the above described property be annexed to the City of Decatur, in accardance <br /> with the Statutes in such case made and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE `^� <br /> yµf " l����:.�1 <br /> � I <br /> �-e r,������. 'T�/r��°%m� l �`c� 1`�� ���� �S �ct � n� J t�� U� r�; <br /> , <br /> Signed and sworn to before me this .��day of �; .. . _ _ _. ,20 : ' <br /> :� <br /> �:�p .�'� ,-.� _ <br /> ,'� �--�.,, .� <br /> Notary Public <br /> (Rev. 12/2014) FELICIA A. EVANS <br /> OFFICIAL SEAL <br /> Notary Public-State of Iilinois <br /> My Commission Expires Apr 16,2023 <br />