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p � Y � <br /> RESIDENTIAL - OCCUPIED <br /> PETITION FOR 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 /> 1. That he/slie is an owner of record,or an elector(person registered to vote)residing therein,of ali the property herein <br /> described. <br /> 2. That at least 51%of the electors(person(s)registered to vote)wl�o 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 /> �t. That the property herein described is contiguous(adjacent)to the City of Decatur. <br /> 5. That oniy ti�e 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#o be annexed,including middle initial.) <br /> � , P <br /> j� . �- 11 =� U . u r.� � <br /> �� <br /> 6. That the petitioner(s)request(s)tliat the City of Decatur,annex the property commonly described as 3257 Fite Drive, <br /> and legally described as follows: <br /> LOT 1 AUSTIN SUBDIVISION <br /> PIN#07-07-33-301-015 <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 /> SIGI\1ATUR� PI�INTED NAME STREET ADDRESS, CITY, STATE <br /> . L �-- . <br /> ��.�v C - �r�: �:�. �� ��-� ✓z v�. L���:-t� f <br /> ,-� <br /> Signed and sworn to before me this t� day of V�C��� ,20 ( �l <br /> .��---- �c..� ��,C�ZJ/�C..�L- <br /> Notary Public <br /> {Rev. 12/2014) TARAfl.BACHS�fE1N <br /> OFFICIAL 5E1�L. <br /> Notary Public-State ofi 111inois <br /> �1y Commission Expires May 12,2D23 <br /> Fxhihif A <br />