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Book: 4784Page: <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 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 /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2115 North <br /> Sunnyside Roadand legally described as follows: <br /> LOT THREE(3)OF NORTH SUNNYSIDE ADDITION,AN ADDITION TO THE CITY OF DECATUR, <br /> ILLINOIS,AS PER PLAT RECORDED IN BOOK 536 PAGE 50 OF THE RECORDS IN THE RECORDER'S <br /> OFFICE OF MACON COUNTY, ILLINOIS,EXCEPT THE NORTH 25 FEET THEREOF. SITUATED IN <br /> MACON COUNTY, ILLINOIS. <br /> PIN# 04-12-06-451-006 <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 /> IJ 5 Al- S4 IL 6"E-4 <br /> K• C `d .2 SymiwWo I rqt. <br /> Gara,� <br /> Signed and sworn to before me this day of (?cl ' ,20 U_ <br /> It <br /> Notary Public <br /> TARA R. BACHSTEIN <br /> (Rev. 12/2014) OFFICIAL SEAL <br /> Notary Public-State of Illinois <br /> [MyCommission Expires May 12,2023 <br /> Exhibit A <br />