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40aw—JUke 4771 Page: 650 <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,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 /> I 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 /> ROL�'Ivt 4�:, WkIlte, <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3436 Ferris Dri <br /> and legally described as follows: <br /> LOT THIRTY-SIX(36)OF SOUTH HILLTOPN SUBDIVISION,AS PER PLAT RECORDED IN BOOK <br /> 300, PAGE 212 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS. <br /> SITUATED IN MACON COUNTY, ILLINOIS. <br /> PIN# 17-12-33-302-009 <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 /> SIGNATURE PRINTED NAME STREET ADDRESS,CITY,STATE <br /> 0. <br /> gob e-t-f F,. <br /> LT <br /> g:t ? y I <br /> Signed and sworn to before me this 45 116 day of 20A <br /> OFFICIAL SEAL Notary Public <br /> NINA BROWN <br /> (Rev. 12/2014) NOTARY PUBLIC-STATE OF ILNOIS <br /> MY COMMISSION EXPISSS 09.16-20Z3 <br /> Exhibit A <br />