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� � � w ��� <br /> RESIDENTIAL - OCCUPIED <br /> PETITION FOR ANNEXATION <br /> TO THE HONOR.ABLE 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 properky 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 /> �� � ��� �� �� fi�l �'..� <br /> �'°`�, <br /> ,����� ° �- � �o;..' ��� � <br /> � <br /> 6. That the petitioner(s)reyuest(s)that the City af Decatur,annex the property commonly described as 2330 Wilcox <br /> Lane,and Isgaliy described as follows: <br /> WILCOX WAYSIDE FARMS ADDITION LOT 42 <br /> PIN#04-12-OS-304-005 <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 /> S ATURE ,� � PRINTED NAME STREET ADDRESS, CITY,STATE <br /> �� �,,�,..e �� �,,.. Ya � .�):3_ �d��� ;- <br /> �� i R � �; ` ► ty{� �: ' �• jt$rv ;� !'; <br /> �. � ' ,� 'r ,}t' "�.6 <br /> Signed and sworn to before me this � f .� ,20� <br /> Notary Public <br /> -�.��n�o <br /> (Rev. 12/2014) Official Sea1 <br /> K S Tolladay <br /> Notary Public State of Iliinois <br /> My Commission Expires 12f06/2021 <br /> Exhibit A <br />