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B�k: 4712 F'�aige: 72$ <br /> RESIDENTIAL - OCCDPIED <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 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 /> %1a� f�(.�-!G( ,�' �CtL�z,� ���1��� ��f�—�-a► -��.G.'�,��.I <br /> 6. Tnat the petitioner(s)request(s)that the City of Decatur,annex the praperty comrnonly described as 2443 Captain <br /> Lane,and legally described as follows: <br /> LOT 52 WILCOX WAYSIDE FARMS ADDITION,AS PER PLAT RECORDED 1N BOOK 300 PAGE 186 OF <br /> THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. <br /> P1N#04-12-OS-304-010 <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 /> SIG TURE PRINTED NAME STREET ADDRESS.CITY,STATE <br /> - �, , o �vL ,� � � r �� � � , � c�. <br /> , ., <br /> j � ,� �„�� � q , i � ,�r�,�.�- ,��> <br /> � <br /> OFFICIAL SEAL <br /> CARLIN 0 N�RMllS Signed and sworn to before me this � day of �-;20 "7 � <br /> NOTARY PU�,IC•STATE OF ILUMOIS <br /> MY COMMISSION EXPiRES07/tp/21 �-��_ „�„S,�„ <br /> . . Notary Pu lic �- <br /> (Rev. 12/2014) <br /> Exhibit A <br />