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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 /> ( ( <br /> i ` ` i." P7 <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 1836 South Shores <br /> Drive,and legally described as follows: <br /> LOT 1 OF PINE GROVE ADDITION,AMENDED ON FINAL PLAT,AS PER PLAT RECORDED IN BOOK <br /> 5000,PAGE 190,AND AMENDED IN BOOK 4458 ON PAGE 635,OF THE RECORDS IN THE <br /> RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. SITUATED IN MACON COUNTY,ILLINOIS. <br /> PIN# 17-12-25-377-020 <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,JCITY, STATE <br /> �O✓i CrSCO .5 .Sha,-cS <br /> 1 �3b []/ �1Gco�Tt/y LCL <br /> �26ICM(A CI SCO Imo. <br /> Signed and sworn to before me this ,I� day of Ocbe-p- ,20 <br /> OFFICIAL SEAL W� <br /> TARA R. BACHSTEIN <br /> Notary Public-State of Illinois Notary Public <br /> IMY Comm1881on Expires 5/12_/2027 <br /> (Rev. 12/2014) <br /> Exhibit A <br />