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� �I�i��M � <br /> ■ <br /> RESIDEIV'TIAL - OCCUPIED <br /> PETITION FOR ANNEXATION <br /> TO THE N4NORA.BLE MAYOR,AND CITY COUNCIL QF THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,��espectfully rspresents as follaws: <br /> i. That he/she is an ownex•of record,or an elector(person registered ta vote)residing therein,of all the property herein <br /> described. <br /> z. That at ieast 5 I%of the electors(persan(s)registered to vote)who N�eside on the property herein described have signsd <br /> and do join in the petition. <br /> 3. That the praperty herein described is not within the carporate limits of any municipality. <br /> 4. That the property herein described is cantiguous(adjacent)to the City of Decatur. <br /> 5. That only the follawing listed adult person{s}{aver l II yea��s af age)reside in tile property to be annexed.{Please lisi <br /> the name af each adult person residing in the property to be annexed,including middle initial.) <br /> 6. Ttiat the petitioner(s)reques#{s)that Ehe City of Decatur,a�anex the propez•ty commonly described as 4l 55 N Woodlawn <br /> Ave.,and legatly described as foltows:LOT 1 I COOPERS 1�7�.SLJBDIVISION <br /> PIN#07-07-28-326-004 <br /> WHEREFORE,petitioner(s)request(s)the above described property be annexed ta the City of Decatur,in accardance <br /> with the Statutes in such case made and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS,CITY.STATE <br /> f ��as� � 3 ,�n� <br /> �!b 112 <br /> Si�ned and swo�n to befare nie this ��3 day of �ts t1 q,�ry/�'��� ,20 � � <br /> � � <br /> •----- ����� Notary Public <br /> NOT/1R1f PIJBUC <br /> {Rev. I2l2014) �, <br /> soa�E cou�rr,sT,��o��wn <br /> MY CQMMl8310N EX4'�tEB JUI�17,2422 <br /> CCN�l116�IN P�864884 <br /> Exhibit A <br />