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Exhibit A F � � � <br /> RESIDENTIAL - OCCUPIED <br /> PETITION FOR ANNEXATION <br /> TO TI-�E HONORABLE MAYOR AND CITY COUNCIL OF THE CTTY 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�east 51%of the electors(person(s)registered to vote)who reside on the property herein cCescribed 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 /> 4. That the property herein described is contiguous(adjacent)to the City of Decatur. <br /> 5. That only the following Iisted adult person(s)(over 18 years of age)reside in the property to be anr�exed.(Please list <br /> the name of each adult person residi�g in the property to be annexed,including middle initial.) <br /> �4 L�t�.�a �. , .��1JC.�� <br /> i��.�f a� ,�i,� t�t�-i<�cz <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3512 Ravina Park <br /> Road,and legally described as follows: <br /> LOT NINE (9) OF HANDY ACRES <br /> P1N# 04-12-06-427-015 <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 /> t,�.��-�-'n ?�� . h�,�(�C�—�^�. �C ►� ,`.�, ���(� �:�, <br /> � �:,� �. � �.� ��1 Z ���». � �.�. ��`�,= <br /> Signed and sworn to before me this�Y/r day of ' ,20� <br /> i - � ri /� <br /> �.•�"'"� <br /> Notary Public <br /> (Rev. 12/2014) ,,,�,�,�,�,�,� <br /> OZOZ`8Z aun�sa�idx�uo�ssfwwo�R�ry <br /> siouilll�0 al�iS`�i�qnd tie�oN <br /> �all!W a��tao(' <br /> �ld3S 1d1�1��0„ <br />