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Exh�b�t A w � . nu�" <br /> RESIDENTIAL - OCC'UPIED <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 properiy herein described haue 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 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 /> 6. That the petitioner(s)reyuest(s)that the City of Decatur, annex the property commonly described as 3512 West Ravina <br /> Park Road,and legally described as follows: <br /> LOT NINE (9) OF HANDY ACRES <br /> PIN# 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 /> SIGNATU PRINTED NAME STREET ADDRESS,CITY, STATE <br /> �1 r � , <br /> � � ,i�v� i�, � ��L � �'`« �?t�i� {r S � �� ' ;c�t�� r �i�`f� Zt/�; <br /> � ��:..:1e� c.� &.���2r�-c�r����,�ic��..i ��.i�.,�nf�..f�-t � �/'��ic��.�` -�,�2` <br /> �t=' � �:�=� ��. <br /> Signed and sworn to before me this �day o£ �I t ff��-/ �l �,q ..,20r' ' <br /> � �� , �.���'� � <: <br /> Notary Public <br /> (Rev. 12/2014) VICKIE L WAKEFIELO <br /> Official Seal <br /> Notary Pubtic-SWte of Illinois <br /> My Commission Expires Oct 29, 2022 <br />