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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 2802 Southland <br /> Road, and legally described as follows: <br /> LOTS ONE(1)AND TWO(2)OF GUSTIN'S 16TH SUBDIVISION,AS PER PLAT RECORDED IN BOOK <br /> 958,PAGE 117 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. <br /> SITUATED IN MACON COUNTY,ILLINOIS. <br /> PIN# 17-12-25-376-005_ <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 /> flc.,�,�.��/�- � f 1��� W� !1 I �t� h' !� n r��, � .;t ��:�5�Li�l v� h�i r�i 1?,T �.����►��`��^ <br /> Signed and sworn to before me this 10"day of noy m bb( 20 �3 <br /> Notary Public <br /> (Rev. 12/2014) <br /> ENotary <br /> FICIAL SEAL <br /> UE HAVENER <br /> blic-State ofIllinois <br /> sion Expires 4/16/2027 <br /> Exhibit A <br />