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B�alc: 4af 5 Pa�e: 2fi4 <br /> RESIDENTIA OCCUPIED <br /> PETITION FOR ANNEXA.TION <br /> TO THE HONORASLE MAYOR AND CITY COUNCIL OF THE CITY OF DECATUR,ILLINOIS: <br /> The undersigned,under oath,respectfully represenis as fo2lows: <br /> 1. That he/she is an owner of record,or an elector(persom registered to vote)residing therein,of ali the property herein <br /> described. <br /> 2. That at least 51°/a of the electors(person{s)registered to vote)who reside on the properly herein described have signed <br /> and do join in the petition. <br /> 3. That the properiy herein described is not within the corporate limits of any municipality. <br /> a. 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 properiy to be annexed.(Please list <br /> the name of each aduIt person residing in the property to be annexed,including middle initial.) <br /> t`�oclv�e..p {�• �ji��- �c?v— Cs-c.�sQ ��1cC✓`av� �_ �;.e.��'��ev- <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 757 East Grove <br /> Road,and legally described as follows: <br /> LOT 1 OF BUTLER'S ADDITION AS PER PLAT RECORDED IN BOOK 5000, PAGE 352 <br /> OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS <br /> PART OF ORIGINAL PIN# 17-12-35-201-018 <br /> WHEREFORE,petitioner(s}request(s)the above described properly be annexed to the City of Decatur,in accordance <br /> with the Statutes in such case made and provided. <br /> SI NATURE PRINTED NAME STREET ADDRESS.CITY,STATE <br /> � ��� �rx�.n.e � ��..k'�c�- � �l5`7�.G��a.re �Q. <br /> i vic�..�d ac a-ws( � c c�-�-�cv-.�G..�25z 1 <br /> GL�. ��',�,� c�1 �� S�� r�"u-�-r <br /> U <br /> �e� .�. C�,.�.�e c?�b <br /> €lfi���' �„ �`�`av►. � • ��w}�v �v�'�Vct�uc�� � c_a�6u.r (o ZS'2 <br /> � a-5 C�—°�"��� ��.e. ��t�3� �A Y3 i��- <br /> ����r • e this day of��,�r ,20.� �. <br /> ��� DONNA L. TOMLINSON � <br /> ����� OFFICIAL SEAL <br /> �t�>".€*::�, ` � .. <br /> s'� "�`�. Notary pGb�ic,State of lllinois <br /> �,�s.=� � t'�y Commission Expires Notary Public <br /> Aupust 16,2q22 <br /> (Rev. 12/2014) <br /> Exhibit A <br />