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� �c�alc: 47i2 P"aye: 684� <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 /> 4. That the property herein described is contiguous(adjacent)to the City of Decatur. <br /> 5. That only the following listed adult person(s)(over l 8 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 /> ��c �� �,�U.����'� <br /> R-� �� BEA��o�� <br /> 6. That the petilioner(s)request(s)that the City of Decatur,annex the property commonly described as 4128 Dean Drive, <br /> and legally described as follows: <br /> LOT 15 COOPERS 2ND SUBDIVISION, AS PER PLAT RECORDED IN BOOK 1405 PAGE 16 OF THE <br /> RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS <br /> PIN#07-07-28-303-001 <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 /> ° ��� `�+2� D�4�J �t�2 s��iu�� —rC �2� 2 <br /> o� . <br /> Signed and sworn to before me this � day of !�►(��`(`�(�„�,� ,20�_ <br /> C��t��- � � <br /> KIRSTEN A. BORN Notary Public <br /> (Rev. i212014) OFFICIAL SEAL <br /> �!ot�ry Public-State of fli�nt�� <br /> My Cc�n�mission Expires Aug 28,20�3 <br /> Exhibit A <br />