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RESIDENVAL, .00CUPIED <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 personresidingin the property to be annexed,including middle initial.) <br /> L Jc_ L <br /> 6. That the petitioner(s)request(s)that the City of Decatur, annex the property commonly described as 2590 South Shores <br /> Drive, and legally described as follows: <br /> LOT THREE(3)OF GRAY'S COVE,AS PER PLAT RECORDED IN BOOK 1832 ON PAGE 328 OF THE <br /> RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS. <br /> PIN# 17-12-25-476-012 <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 /> rmas <br /> 1 1 <br /> �hlrVC \ J fjrl( r�rV� l Y\C1 r � (�� Cl n Z 5'i G 4,t\r rC S !- <br /> Signed and sworn to before me this'b)n d day of d m 6 1 A-A ,20,� <br /> Notary Public <br /> (Rev. 12/2014) EWotary <br /> FFICIAL.S1=AL <br /> . VEIN of Illinois OFFICIAL SEAL <br /> .: s 5/12/2027 TARA R. FSACHSTEIN <br /> Notary Public-State of Illinois <br /> My Commission Expires 5/12/2027 <br /> Exhibit A <br />