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1E.SIDENTIAL - ®C'C UPIED <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 /> I. 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 /> (-fir' f L3 <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3441 Ferris Drive, <br /> and legally described as follows: <br /> LOT 29 OF SOUTH HILLTOP SUBDIVISION, AS PER PLAT RECORDED IN BOOK 300 PAGE 212 OF <br /> THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS. <br /> PIN#17-12-33-301-013 <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 /> /� G" ; - G✓��� /�, /'/i1i�1�1��{ 5 ��� j / /c AID <br /> L tet,-, LL <br /> Signed and sworn to before me this Ih day of )��2f, P r)--\ 20 c2 <br /> TARA R. BACHSTEIN , Notary Public <br /> OFFICIAL SEAL <br /> (Rev. 12/2014) Notary Public-State of Illinois <br /> ,My Commission Expires May 12,2023 <br /> Exhibit A <br />