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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 nameofeach adult person residing in the property to be amlexed,including middle initial.) <br /> CC <br /> J-/'T�r'/ 1/,-, /Y, /t�� J` C'' G- GJ r <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 1990 East Grove <br /> Road,and legally described as follows: <br /> LOT 4 OF GUSTINS SIXTEENTH SUBDIVISION,AS PER PLAT RECORDED IN BOOK 958 PAGE 117 OF <br /> THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. <br /> PIN# 17-12-25-376-004 <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 made and provided. <br /> SIGNATURE PRINTED NAME STREET ADDRESS, CITY, STATE <br /> � /11 `c l %9� IQs7 6., <br /> Ail <br /> - it v�v / (: L.;?iJ ,>Z f <br /> �2 yi'�z/ec.ZG J b(c Yet �Z �� J.3G'Ji�"iC_ M—;r '6 v"e, 1 <br /> ( )e c_e-d-& - T 1 5 I <br /> A <br /> Signed and sworn to before me this day of v �20 <br /> LFELICIA <br /> SEAL <br /> AmNottato of IllinoisMy�+opires 4/16/2027 Notary Public <br /> (Rev. 12/2014) <br /> Exhibit A <br />