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M "-U F O/Yen p Y�pFyy <br /> RESIDENTIAL - OCCUPIED <br /> PETITION FOR A1�11oTEXA.TION <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 51%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 I8 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 /> �� , r- <br /> 1��.� 1 `!_7 .��,,,u���� �., ���� � � �. �.��� <br /> . -�- <br /> 6. Tl�at the petitioner(s)reyuest(s)that the City of Decatur,annex the property commonly described as 4220 Needle <br /> Road,and legally described as follows: <br /> LOT 4 MCCLAINS COUNTRY ESTATES <br /> P1N#07-07-29-276-012 <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 /> i ' <br /> , <br /> � - �� i „ '`�� 2-� �/v'�N•7 .r� <br /> '� � � ` � 0 � ^ 1 1 � .fl � '' <br /> / . � . , � <br /> , � <br /> � <br /> , C � � <br /> � �Signed and sworn to before me this day of Co �� �,20 � <br /> � �. i �� <br /> TARA R. BACHSTEIN Notary ublic <br /> OFFICIAL SEAL <br /> (Rev. 12l2014) Notary Public-�tate of lllinois <br /> ,My Com�rission Expiras May 12,2023 <br /> .— , . .� „ <br />