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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 /> 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 /> 6. That the petitioner(s)request(s)that the City of Decatur, annex the property commonly described as 1825 Danceland <br /> Road,and legally described as follows: <br /> LOT 1 OF FREY'S SUBDIVISION OF A PART OF THE SOUTHWEST QUARTER OF SECTION 25, <br /> TOWNSHIP 16 NORTH, RANGE 2 EAST OF THE THIRD PRINCIPAL MERIDIAN AS RECORDED IN <br /> BOOK 1832 AT PAGE 520 OF THE RECORDS OF THE RECORDER'S OFFICE OF MACON COUNTY, <br /> ILLINOIS. <br /> PIN# 17-12-25-351-020 <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 /> Signed and sworn to before me this day of Mph -,20c22> <br /> /� <br /> ✓�_ <br /> Notary ublic <br /> (Rev. 12/2014) •• — — <br /> TARA R. BACHSTEIN <br /> OFFICIAL SEAL <br /> Notary Public-State of Illinois <br /> j My Commission Expires May 12,2023 <br /> Exhibit A <br />