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�a►aic: 46��Pa�e: �7� <br /> RESIDENTIAL - OCCUPIED <br /> PETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR AND C1TY COUNCIL OF THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfu[ty represents as fol{ows: <br /> i. That he/she is an owner of record,or an etector(person registered to vote)residina therein,of ail tl�e property herein <br /> described. � <br /> 2. That at least 51%of the electors(person(s)registered to vate)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 foilowing listed adult person(s)(over 18 years afage)reside in the praperty ta be annexed.(Please list <br /> the name of each adult persan residing in the property to be ann� includi middie initial.) <br /> Y `h <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property comrnonly described as 2963 Dannv <br /> Drive,and legally described as foliaws: <br /> LOT 6 OF SOUTHERN MEADOWS ADDITfON <br /> PiN# 17-12-34-20 I-003 <br /> WHEREFORE,petitioner(s}request(s)the above described propez-ty be annexed ro the City of Decatur, in accordance <br /> with the Statutes in such case made and provided. <br /> SIGNATURE PRIIVTED NAME STREET ADDRESS CT Y,STATE <br /> } , � <br /> D aq�3 s� n <br /> � �� s � � � �� . <br /> Signed and sworn to before nte this �� �� ,20� <br /> l , <br /> w•www..�Ys.p..i,..,..,.,,,.,,, Notary Ub►C . <br /> �oFF�ci�sEa�.• � <br /> (Rev. 12/2Q 14) t3ACHEL STRODE � � <br /> Notary pubtic•State ot iilfnois <br /> My Commission Expires April 04,2021 G <br /> .r-r.+�P�/.e.+"Mr+n�wtivww^..+ <br /> Page 317 of 432 <br /> Exhibit A <br />