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e�ok: 4na�: ssa <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,respectfuliy 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 /> 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 /> � <br /> ���� ��� � � � � ti <br /> `�� v;'� � f.t��e j.f� c -� <br /> � <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 4125 Doneta <br /> Avenue,and legally described as follows: <br /> LOT 10 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#07-07-28-303-004 <br /> WHEREFORE,petitioner(s)reyuest(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 /> �� " v� C� ' �.1l� ���l/ . <br /> � ,�= v � CC� jt c�� v�,5— e�7'�i� ';. <br /> �y�T� v� .�C <br /> Signed and sworn to before me this �� day of �G'i,�tt�'a'i-�te-I ,20 I� <br /> � ������ <br /> Nc�#ary Public <br /> TARA R. BACHSTEIN <br /> (Rev. 12/2014) Or�ICfAL SEAL <br /> Notary Pubtic-State of illinois <br /> My Commissian Expires May 12,2023 <br /> �xhihit A <br />