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. � �► � ��� <br /> ItES1'DENTIAL - OCCUPIED <br /> PETITION�'OR 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 /> l. That he/she is an owner of record,or an etector(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 properiy 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 prop�erty to be annexed.(Please list <br /> the name of each adult person residing in the property to be annexed,including middle initial.) <br /> C.-��-� '� ,�,�G�� <br /> ._._-� <br /> `��lrJ�'s �- ,�vcs��.�• <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property cammonly described as 487 Hillshire <br /> Road,and legaily described as follows: <br /> S�U7HERN MEADOWS ADDITION LOT 16 <br /> PIN # 17-12-34-205-002 <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 /> SIGNATiJRE PRINTED NAME STREET ADDRESS, CITY,STATE <br /> L/%��llj7l`i-��y�c�- ��e.> � �JCJJf/JLt"y" �G,7�.�+5. S�j��J mt'°��f�"C-,y-",��- 1�L..-- Gj..Z•5.5G <br /> '� . <br /> �'L��-� � ,���.��- C.'t o r� i r3�4� 1 t� �g� � �r��'�'t�re .�i��-%ur �� . �l.s-..z i <br /> " C� <br /> Signed and sworn to before m�th' �� ay of � ,20� <br /> `- ,�- <'� 1.����� <br /> Notary Public <br /> TARA R. BACHSTEIN <br /> (Rev. 12/2014) OFFICIA�SEAL <br /> Notary Public-State of iliinois <br /> ,�N!y Commission Expires May 12,2023 <br /> ;,.� <br /> r_.�_e�_�i w <br />