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. �Pi� : f�� <br /> RESIDENTIAL - OCCUPIED <br /> FETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR AND CITY COUNCIL OF THE CITY OF DECATUR,iLL1NOIS: <br /> The undersigned,under oath,respectfully represents as follows: <br /> 1. That helshe is an awner af record,ar an elector{person registered to vote)residing therein,af ail the property herein <br /> described. <br /> 2. That at least 51%af 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 /> �. That the property herein described is contiguous{adjacent}to the City of Decatur. <br /> 5. That only the follawing listed adult person(s)(over 1$years of age)reside in the property to be annexed. (Please list <br /> the name of each adult person residing in the property to be annexed,including middle initial.) <br /> t„`��.F�'�'c�� %"� /3�/ 1i t ,�t/ C�+ �l�{" <br /> � ci�- � c�,r t� � C�,t r'�' �r � e. r` - <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property cornmonly described as 2334 Captain <br /> Lane,and legaily described as fallaws: <br /> �OT 5$ OF WILCOX WAYSIDE FARMS ADDITIC3N <br /> PIN# 04-12-OS-305-005 <br /> WHEREFORE,petitioner(s)request(s)the abave described property be annexed to the City af Decatur,in accordance <br /> with the Statutes in such case rnade and pravided. <br /> SIGNATURE PRI1�iTED NAME STREET ADDRESS, CITYx STATE <br /> � / ���""�'�'"` �G,sC.��� �j'.�1�'f7'/�caL=f� �6�"1�"���LK !/f�;ic.:c�t,f� ,t--�� <br /> �,/ � � ' <br /> 7 � �✓J . � . /� <br /> � y' G�` tc.�'fJ1 t'�'�C'1 G'"� �d+d` 1�C /?:�:�/' ✓3' i%� G%t i Y� !?c !/E.' 'e' „�,� . <br /> �f"Gd <br /> Signed and sworn to before me this '� day of � ,20� <br /> ��-�--���,.� � t�� -�-��j�_ . <br /> �Notary Public <br /> .....�..�..� <br /> (Rev. 12/2014) FELICIA A. EVANS <br /> OFFICIAL$EAL <br /> Notary Publ�c-State of Iitinois <br /> My Commission Expires Apr 16,2023 <br />