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r ���p �� <br /> It'ESIDENTIAL - QCCUPIED <br /> PETITIQN FQR ANNEXATION <br /> TO THE HONORABi.E MAYOR AND CITY COUNCIL(?.F THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfully represents as follows: <br /> 1. That helshe is an owner of record,ar an eiector{person registered to vote}residing therein,of all the property herein <br /> described, <br /> 2. That at least S I°ta af the electors{person{s}registered ta vate)who reside on the property herein described have signed <br /> and do join in the petitian. <br /> 3. That the property herein described is nat within the corporate limits of any municipality. <br /> 4. That the praperty 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 af each adult person residing in the property to be annexed,including middle ini#ial.} <br /> `'�i�Y�t"i \•� �,�'��~ L'i L'''e"� <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property cornrnonly described as 3555 Catherine <br /> Street,and legaliy described as faliows: <br /> LOT 3 HANDY ACRES <br /> PIN#04-12-06-427-017 <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 /> I� 5IGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE <br /> —_ • <br /> � <br /> �°;\..�. 'i� l.v �-w'�r�' ��`5� C��-�4..�r n� `L <br /> Signed and sworn to before me this r ('� day of—J��U,��;20 �� <br /> �.�./� �`� "-�� *. <br /> TARA R. BACHSTEIN Notary Public <br /> (Rev. 12/2014) a�FICiAL SEAL <br /> Notary Public-State of Illinois <br /> My C�mmission Expires May 12,2023 <br />