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eook: 4�ia�: sos <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 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 /> s. That only the 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 to be annexed,including middle initial.) <br /> l��� �'r��C�-t� <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3831 W Center <br /> Street,and legally described as follows: WESTSIDE SIJNNYSIDE HEIGHTS 2ND.ADDITION LOT 5 <br /> PIN#04-12-07-201-011 <br /> WHEREFORE,petitioner(s)request(s)the above described properly 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 /> �/4�� *��-- �Q� ��Gu�" �� �' j � �c���' defir�a�W�'�� <br /> (� j lo <br /> Z 2.., <br /> Signed and sworn to before me this Z� day of dC,1s"ti�2,� ,20 I g <br /> Notary Public <br /> KIRSTEN A. BORN <br /> (Rev. 12/2014) OFFICIAL SEAL <br /> Notary Public-State of illinois <br /> My Commission Expires Aug 28,2023 <br /> Fvhihit L1 <br />