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�: 4�io�: �4 <br /> RESIDENTIAL - OCCUPIED <br /> PETITION FOR ANNEXATION <br /> TO THE HONORABLE MAYOR AND CITY COUNCIL OF THE CITY OF DECATUR,ILLIlYOIS: <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 properly 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 /> _��sa���i l.sr� <br /> 6. That the petitioner(s}request(s)that the City of Decatur,annex the property commonly described as 2463 Baker Lane, <br /> and legally described as follows: <br /> LOT 69 WILCOX WAYSIDE FARMS ADDITION, AS PER PLAT RECORDED IN BOOK 300 PAGE 186 <br /> OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS. <br /> P1N#04-12-OS-305-009 <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 /> a r ; •� b3 6� <br /> Signed and sworn to before me this 2�1 day of V ri�� ,20 � <br /> d�. � Q.• C�'�+�1 <br /> Notary Public <br /> KIRSTEN A. BORN <br /> (Rev. 12/2014) �FFICIAL�EAL <br /> �!r;ra���y'u��hc-State of(Ilinois <br /> My t:,� �„Ss�on Expires Aug 28,2023 <br /> Exhibit A <br />