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: ��,� : °�� <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 to vote)residing therein,of all the property herein <br /> described. <br /> 2. That at least S l%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 /> 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 /> �� 0.� �, �� 2 �� <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2305 Baker Lane, <br /> and legally described as follows: <br /> LOT SIXTY-FOUR (64) OF WILCOX WAYSIDE FARMS ADDITION <br /> P1N# 04-12-OS-305-018 <br /> WHEREFORE,petitioner(s)request(s)the above described properiy be annexed to the City of Decatur,in accordance <br /> with the Statutes in such case made and provided. <br /> SIGNATURE PRINTED NAME STREET A.DDRESS, CITY, STATE <br /> /�1 a on e S�e� v �. <br /> �r u s'�e o� �a�'�-� o �/ - /�k '� .3'L (002 5 0 ! <br /> Signed and sworn to before me this � da of � ,20 � ! <br /> ; <br /> c-, � ��c-GLj ' <br /> TARA R. BACH�TEiN Notary Public <br /> OFFICIAL SE.1�L ' <br /> (Rev. 12/2014) � Notary Public-State c�f Illinois <br /> My Commission Expires May 12,�023 <br />