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Bcx�ic: 47f 5 P`�qe: 295 <br /> RESIDENTIA 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 properiy 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 properiy to be annexed.(Please list <br /> the name of each adult person residing in the property to be annexed,including middle initial.) <br /> � � c <br /> � <br /> 6. That the petirioner(s)request(s)that the City of Decatur,annex the property commonly described as 1910 N. <br /> Sunnyside Road,and legally described as follows: <br /> LOT 9 NORTH SUNNYSIDE ADDITION,AS PER PLAT RECORDED IN BOOK 536 PAGE 50 OF THE <br /> RECORDS iN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS <br /> PIN#04-12-06-454-003 <br /> WHEREFORE,petitioner(s)request(s)the above described properiy be annexed to the City of Decatur,in accordance <br /> with the Statutes in such case made and pmvided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS,CITY,STATE <br /> �_ � r�CJ i <br /> ` �C� h cx�S ��l � <br /> Signed and sworn to before me this�day of �Ov Q.�� ,20�_ <br /> ��,h i��Q_�ti Gt. ��r�--w... <br /> W���, e _ p w Notary Public <br /> (Rev. l2/2014) i� KIRS7EN A.BORN <br /> OFFICIAL SEAL <br /> Notary Rublic-State of Illinois <br /> • My Commission Expires Aug 28,20�3 <br /> Exhibit A <br />