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800k: 47f Q Page: 5i� <br /> RESIDENTIAL - OCCUPlED <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 the property herein <br /> described. <br /> 2. That at least 51%of the electors(person(s)registered to vote)who reside on the property 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 /> a. 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 properly to be annexed.(Please list <br /> the name of each adult person residing in the property to be annexed,including middle initial.) <br /> �� �� rr�n N• I'Y1 oa r c <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2255 Sands Drive, <br /> and legally described as follows: <br /> LOT 61 HUSTON FOREST ACRES, AS PER PLAT RECORED IN BOOK 300 PAGE 350 OF THE <br /> RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS <br /> PIN#07-07-32-430-001 <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 and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS. CITY, STATE <br /> (i{�Ct�r h o�t / 1 •`�Otlt.� �.C1Gt.l'/'t dl N. �q a t'"� �o��J'~ S�t I 1 c�S F.-�����CLt.�t r, Z�-. <br /> '�`�'' vf-�- �ae� �� <br /> �c1�i,�vu�,v,_ �/ ,�, ,�.�._ — <br /> "OFFICIAL SE�.L" S ned and sworn to before me this � day of ��G2,�.—. ,201� <br /> ifdRcW E HEA�IAlGTCSfii / <br /> AOTARY FuBLIC,ST�,TE OF ILLI�IOIS �� <br /> A6Y COM�IS�IQN �XPiRES 03•d5•2020 otary Pubtic <br /> s�:✓�w;—�:�*:�c::�.s <br /> (Rev. 12/2014) <br /> �..t,�ti�+ e <br />