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� b �� M _ WY <br /> Exhibit A 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 to vote)residing therein,of all the property herein <br /> described. <br /> z. 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 properiy 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 /> �-- `s � �,�C'�� ' <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3524 West Ravina <br /> Park Road and legally described as follows:HANDY ACRES LOT 8 <br /> PIN#04-12-06-427-014 <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 /> , ' �� c� � '�`" '��4t�ti.'� �-- ��: <br /> � _ - <br /> , , ,`���c�"�-e.�,�-- �-=�--L� 'L;�z. � <br /> �� n` , , � �.,►d�'�4. 1C' C-t'�..w i�k.��-' � e C.,e.�o i c�-���:.._, i i r- rz. <br /> � �.C��T-t.�,V� ���- ��='� z-� <br /> Signed and sworn to before me this "�day of !'��-��"`� ,20 �� <br /> �r r�� <br /> "OFFICfAL SEAL" Notary Public <br /> S.DAVIDSON <br /> (Rev. 12/2014) Notary Public,State of lilinois <br /> My Commission Expires:11�4/18 <br />