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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 /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2225 South Tam <br /> Road,and legally described as follows: <br /> THE SOUTH 99 FEET OF NORTH 121 FEET OF THE EAST 220 FEET OF THE SOUTH EAST QUARTER <br /> OF THE NORTH WEST QUARTER OF SECTION TWENTY-EIGHT(28)TOWNSHIP SIXTEEN(16) <br /> NORTH,RANGE TWO(2)EAST OF THE 3RD P.M. <br /> PIN# 17-12-28-176-003 <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 /> c7� /4�(q 5e G'D a 5- _S1 a /b. 2 S2- <br /> Signed and sworn to before me this S Ih day of A 1r(J] ,20�_ <br /> 114, <br /> 0 <br /> Notary Pu is <br /> (Rev. 12/2014) TARA R. BACHSTEIN <br /> OFFICIAL SEAL <br /> Notary Public- State of Illinois <br /> My Commission Expires May 12,2023 <br /> Exhibit A <br />