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� � � n ��l <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/she is an owner of record,or an elector(person registered to vote)residing therein,of all tlie properly herein <br /> described. <br /> z. That at least 51%of the electors(person(s)registered to vote)who reside on the property lierein described have signed <br /> and do join in the petition. <br /> 3. That the properiy 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 /> s. That only the following listed adult person(s)(over I8 years of age)reside in the property to be annexed.(Please lis# <br /> the name of each adult person residing in the property to be a exed,including middle initial.) <br /> �- z ` Y b - � d <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 4104 N.Ta� <br /> Avenue,and legally described as follows: <br /> THE N 77' OF THE W 150' OF LOT 2 SIMONTONS 1ST SUBDIVISIO(V <br /> P1N#07-07-28-404-001 <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 a��d provided. <br /> SIGNATURE PRI1�tTED NA.ME STREET AI�DI�ESS, CITY,STATE <br /> � � , � � � <br /> �-L.�_���� � , — �/��� ���'��/ r�s/�rJ r" <br /> r�F� � f- <br /> Signed and sworn to before me this � day of C��L'��.�i' ,20 � � <br /> �'��'ti.-- �.- t%��;�..���t�5�.-�.f'� <br /> Notary Public <br /> TARA R.BACHSTEM <br /> (Rev. 12/2014) OFFICIAL SEAL <br /> Notary Public-State o#Illinois <br /> My Commission Expares May 12,2023 <br /> Fvhihit L! <br />