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Exhibit A r � � % � <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 ta vote)residing therein,of atl 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 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 of age)reside in the property to be ann ed.(Please li . <br /> the name of each adult person residing in the property to be annexed, including middle initial.) o . '��•�l l�(, <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 4108 Dean Drive, <br /> and legally described as follows: <br /> LOT 17 COOPER'S 2"D ADDfTION <br /> P1N# 07-07-28-303-003 <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 /> . <br /> . oB,eR � �� lD 8 D�.s.✓ T�,,�. �x'�r'v,�z"c.. <br /> ��Nn�c�t �iCe7�s> J:� <br /> `n�- �} <br /> Signed and sworn to before me this�day of „ u.� ,20 �� <br /> �.�...�-- — �. � <br /> "�������L ���`�"" Not Public <br /> K�€�F:W � {•i���l?��"i'r.�A� <br /> tdtJ7ARY pL!i.LiC,S iawYE iBF i_.L1�i°�'.i <br /> (Rev. 12/2014) �Y�t}A��l;�alt�r� E]4P1i��:�43�t'�.,;c';:=; ;� <br /> �. <-.x�..,,..t;�-r :. <br />