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n1aw-60%,A-8 4771 Page: 672 <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 /> 2. That at least 5 1%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 /> WML !3 01M "I <br /> 6, That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 1508 West Ash <br /> Avenue,and legally described as follows: <br /> THE SOUTH 200 FEET OF THE EAST 230 FEET OF THE NORTH WEST QUARTER OF SECTION <br /> TWENTY-EIGHT(28)TOWNSHIP SEVENTEEN (17) NORTH, RANGE TWO(2) EAST OF THE 3RD <br /> P.M. <br /> PIN# 07-07-28-100-006_ <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 /> vecA 4 <br /> z, <br /> a-�ILive <br /> [+Con <br /> "OFFICIAL SEAL" <br /> 4 dUtt A eAl Ey W L <br /> NOTARY PUBLIC,STATE OF I <br /> LLINOIS <br /> UMIS 10 <br /> Y COMMISSION EXPIRES 03-01.2n24 <br /> U PT90 <br /> Signed and sworn to before me this Ir'I day of Jt c .20 <br /> J-y <br /> 110177FICIAL SEAL" <br /> t �Notary F�(061 ic <br /> SHERRY L. JACKSON <br /> T <br /> Ilat <br /> NOTARY PUBLIC,STATE OF ILLINOIS <br /> ES 1 0.0 <br /> Sl-IC 1 7 <br /> (Rev. 12/2014) My COMMISSION EXPIRES 104S!-2022� <br /> Exhibit A <br />