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Book. 4954 Pte: 956 <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 /> S. 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 propel'comm nonly described as 3018 Tempe. <br /> Drive,and legally described as follows: <br /> LOT TWENTY-THREE(23)AND THE SOUTH FIVE(5) FEET OF LOT TWENTY-FOUR(24)OF <br /> LAKEWOOD HEIGHTS,AS PER PLAT RECORDED IN BOOK 300, PAGE 318 IN THE RECORDS OF THE <br /> RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS. SITUATED IN MACON COUNTY, ILLINOIS. <br /> PIN#_17-12-36-204-004 <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 rnade and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE <br /> r <br /> K�yh <br /> Signed and sworn to before me this day of oluk', _,20 A6 <br /> � -kit <br /> Notary Public <br /> (Rev. 12/2014) TARA R. BACHSTEIN <br /> OFFICIAL SEAL <br /> Notary Public State of Illinois <br /> jMy Commission Expires May 12,2023 <br /> Exhibit A <br />