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B �dI�Y�� N ■ I��b <br /> RESIDENTIAL - OCCIJPIED <br /> # PETITION FOR ATfNEXATIQN <br /> . TO THE HONORABLE MAYUR AND CITY CUUNCIL OF THE CITY OF D�CAT[IR,iLLINOIS: <br /> The undersigned,under oath,respectfully represents as follows: <br /> 1. That helshe is an owner of recard,or an elector{person registered ta vote}residing therein,of atI the property herein <br /> described. <br /> 2. That at leas#5 2°lo of the electors{person{s)registered to vote}wht�reside on the property herein described have signed <br /> and do jain in the petition. <br /> 3. That the property herein described is not within the corporate limits afany municipality. <br /> 4. That the property herein descri6ed is cantiguous(adjacent}to the City of Decatur. <br /> s. That only the following listed adult persan(s)(over 18 years of age)reside in the property to be annexed.(Please list <br /> the name of each adutt persan residing in the property to 6e annexed,including middle ini#iai.} <br /> ..��/�!1����l ,�- � r?,- s <br /> 6. That the petirioner(s)request(s)that the City of Decatur,annex the property commanly described as 2395 Captain <br /> Lane,and legalty described as foilows: <br /> �CJT 51 W[LGt7?C V1/AYSIC?E FARMS ADDlTi{3N,AS PER PLAT RECORDE�IN BOOK 3Q0 PAGE 986 UF <br /> THE RECORDS iN THE RECORDER"S OFFICE OF MACON GOUNTY, ILLINOIS. <br /> PIN#04-12-OS-304-011 <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 /> SIGNATITRE PRINTED NAME STREET ADDRESS,CITY, STATE <br /> ,�..�re'� r� ��v--�.� 1S,2,4.t�t,r�ir' � f ai:�fS r���`�...5 �,�r°T t4 t�t� �a,t} <br /> !�FG,cy.i v2, ,Z"L �r„�.Sa2 � <br /> Signed and sworn ta before me this 't'��'h da of� ' ' � �,20��1 <br /> L�.. ~ .������,t/�, <br /> ""i'�' Natary Public <br /> TARA ft. BACHSTE{N <br /> (Rev, 12l2014) OF'FICIAL SEAL <br /> Natary Public-Sta#e of Illinais <br /> My Cpmmissian Expires May 12,2p23 <br /> r__�_��_ei n <br />