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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 /> 00 �T/c <br /> M fit de� P�f- <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2383 Wilcox <br /> Lane,and legally described as follows: <br /> LOT 34 OF WILCOX WAYSIDE FARMS ADDITION, AS PER PLAT RECORDED IN BOOK 300, PAGE 186 OF <br /> THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILIINOIS. SITUATED IN MACON <br /> COUNTY, ILLINOIS. <br /> PIN#04-12-05-303-004 <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 /> Z 3 `z� j uo <br /> -YY <br /> Signed and sworn to before me this /5 day of f (( /J7/i.i ,20 ,;,2 <br /> Ngtgry Pu 'c—_ <br /> r <br /> (Rev. 12/2014) r nnAAv F.JENKINS <br /> 2 OFFICIALSEAL <br /> -.' <br /> Notary Public-State of Winoi6 <br /> My Commission Expires A4og,9024 <br /> c., Exhibit A <br />