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n � ' � : �.�� <br /> RESIDEN77AL - OCCUPIED � <br /> PETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR AND CITY COUNCIL UF THE CITY OF'DECA'I'UR,ILLINOIS: <br /> The undersigned,under oath,respectfully represents as fallows: <br /> I. That heJshe is an awner of recard,or an elector{person registered ta vote)residing therein,of all the properiy herein <br /> described. <br /> z. That at least 51%of the electors(person{s)registered to vote}who reside on the proparty herein described have signed <br /> and do join in the petitian. <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}ta the City of Decatur. <br /> 5. That only the following listed adult person(s)(over l 8 years of age)reside in the property to be annexed.(Flease list <br /> the name of each adult persan residing in the property to be annexed,including middle initial.} <br /> • �.� �� � � '�` � �--� � j, � ,. <br /> � ` �` <br /> . ,� <br /> 6. That the petitioner(s)request(s)t1�at the City af Decatur,annex the property commonly described as 4170 Lakewood <br /> Avenue,and legally described as fallows:LOT ]4& t 5 CLAI3I5 1 ST.ADDITI4N <br /> P1N#04-13-08-179-004 <br /> WHEREFORE,petitioner(s)request(s)the above described property be annexed to the City af Decatur,in accordance <br /> with the Statutes in such case made and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE <br /> ;� �,�,. � ' ; v�. ,-� ,� <br /> �� � C�� � ��� ��' � �;�'�.� �'� � �: �'�:` �'`�� <br /> �� ����..�.��� �� .�.-�� �'.�.�>�� �°'�: <br /> Signed and sworn to before me 's ` j�day of `" � 20�y� <br /> , ��--- � �;.� <br /> Tlatary Public <br /> Tq1�A R. BACNSTEIN <br /> (Rev. 12/2014) OFFICIAL SEA� <br /> Notary Pubiic-State of Illinois <br /> My Commission Expires May 12,2423 <br /> I � <br /> L--- --- -- — <br />