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}ti- 0� Exhibit A <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 3224 W Marietta <br /> Street,and legally described as follows: <br /> LOT TWO (2) OF DOOLIN'S ADDITION AS PER PLAT RECORDED IN BOOK 1832 PAGE 991 OF THE <br /> RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS. <br /> PIN#04-12-08-301-023 <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 /> l� •1- <br /> Signed and sworn to before me thisj(S-k day of_ O�-✓i V!� ( ,20 <br /> b� <br /> OFFICIAL SEAL Notary Public <br /> (Rev. 12/2014) KAREN S ROHMAN <br /> NOTARY PUBLIC,STATE OF ILLINOIS <br /> ,�My Commission Expires 06-15-2025 Page 34 of 128 <br />