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p M �� <br /> RESIDENTIAL - DCCIJPIED <br /> PETITIQN FQR ANNEXATION <br /> T�TAE HONQRABLE MAYOR AND CITY COUNCIL OF THE CITY QF DECATUI2,[LLINOIS: <br /> The undersigned,under oath,respectfully represents as fnllo�vs: <br /> l. That helshe is an owner af record,or an eiector(person registered ta vote}residing therein,of all the property herein <br /> described. <br /> 2. That at least 51°la of the etectors{person{s)registered ta vate}wha reside on the property herein describeci have signed <br /> and da 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 cantiguaus{adjacen#)to the City of Decatur. <br /> 5. That only the following listed adult person(s)(over 18 years af age)reside in the properky to be annexed.(Please list <br /> the name of each adult person residing in the property to be annexed,inctuding middle initial.) � <br /> ��f-�'-t;��� [ 1�E`��f[�e <br /> 6. That the petitioner(s)request(s)that the City af Decatur,annex the property commonly described as 2430 Baker Lane, <br /> and Iegally described as fo]laws: <br /> LOT 13 WiLCOX WAYSIDE FARMS <br /> PIN# 04-12-OS-302-004 <br /> WHEREFORE,petitioner(s)request(s)the abave described property be annexed to the City of Decatur,in accordance <br /> with the Statutes in such case made and prc�vided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE <br /> ;,L.Jl�1b � � o '�-��'1�� �,��1� �i���(� �.��t� �ec.vt�� �-��us�t.�'J� <br /> Signed and sworn to before me this ay of____�_ ,20� <br /> "'OFFlC1AL SEAl." � otary Public <br /> (Rev. 12/2p14) �-A���-�ARTER <br /> NOTARY PUBLIC,STATE OF II.LIN018 <br /> MY COMMfS8lON EXPiRES 02-os-zoso <br />