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: � � a <br /> RESIDENTIAL - OCCUPIED <br /> PETITION FOR AN�tEXATIOI�T <br /> TO THE HONORABLE MAYOR AND CITY COUNCIL OF THE C1TY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfully represents as follows: <br /> I. 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 5 l%of the electors(person(s)registered to vote)who reside on the properly herein described liave signed <br /> and do join in the petition. <br /> 3. That tlie property herein described is not within tl�e 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 residin�in the property to be annexed,including middle initial.) <br /> �� r��� �� ����Q , <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3251 Fite Drive, <br /> and legally described as follows: <br /> LOT 4 AUSTIN SUBDIVISION <br /> PIN#07-07-33-30]-016 <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 /> ��- ���-��.��1 �. . fU� <br /> Signed and sworn to before me this 13}h day of 5���'�'��'� ,20 l� <br /> ���rG- �- J ar�v'�� -c�) <br /> TARA R.BACHSTEIN Notary Public <br /> OFFICIAL SEAL <br /> (Rev. 12/2014) Notary Public-�t�te of Illinois <br /> My Commission Expires May 12,2023 <br />