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E�cx�k: 47f 5 Pag�: 299 <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,respectfulty represents as follows: <br /> 1. That he/she is an owner of record,ar an etectar(person registered to vote)residing therein,of all the properiy herein <br /> described. <br /> 2. That at least 51°/a 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 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 /> _�nitra T�r .�-� <br /> � <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3530 Catherine <br /> Street,and[egally described as follows: <br /> S% LOT 4 ROY R. SLAYBACK ADDITION <br /> P1N#04-12-Od-426-006 <br /> WHEREF�RE,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 /> � , e �'P ��� <br /> al. !c� <br /> . �L Ga?5� <br /> Signed and sworn to before me this j� ay o ��`��� ��� ,20 � � <br /> :.c.� ..-� f <br /> Notary Pubtic <br /> O�Fi�'q�,,EAL <br /> (Rev. 12/2014) Vicki Jo �u�� <br /> NOTARY PUBL��,STAi'E OF ILLINOlS <br /> My Comm�ssion�acplres 10127/2p23 <br /> Exhibit A <br />