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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 /> _ r <br /> � 1 51L�Y 'S r✓� <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2374 Mesa Drive, <br /> and legally described as follows: <br /> LOTS SIXTEEN(16), SEVENTEEN(17),EIGHTEEN(18)AND NINETEEN(19)OF LAKEWOOD <br /> HEIGHTS,AS PER PLAT RECORDED IN BOOK 300,PAGE 318 OF THE RECORDS IN THE <br /> RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS. SITUATED IN MACON COUNTY,ILLINOIS. <br /> PIN# 17-12-36-201-014_ <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 C STREET ADnDRESS, CITY,STATE <br /> elsa- <br /> r- Yi C��-�✓t Y� 1S 0 V1 °2 3-7J "�S� rl �!C' TCCGt�GW�I� <br /> Signed and sworn to before me this l day of ;ir I�lCL�vlG ) ,20 T <br /> OFFICIAL SEAL Notary Public <br /> KAY S BURROUS <br /> (Rev. 12/2014) <br /> LNOTARY PUBLIC,STATE OF ILLINOIS <br /> MMISSION EXPIRES:2/4/1016 <br /> Page 120 of 221 <br /> Exhibit A <br />