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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 3062 Tempe <br /> Drive,and legally described as follows: <br /> LOT THIRTEEN(13)OF SOUTHLAKE ADDITION, AS PER PLAT RECORDED IN BOOK 300,PAGE 372 <br /> OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. <br /> PIN# 17-12-36-204-008 <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 /> t,L- /rx &afflaser *6�-At*erl Prihemer -Aotolz i D ,l w6z, <br /> Signed and sworn to before me this day of 3GL✓)" ,20 O�'4 <br /> OFFICIAL SEAL Notary Public <br /> TARA R. BACHSTEIN <br /> (Rev. 12/2014) Notary Public-State of Illinois <br /> [My Commission Expires 5/12/2027' <br /> Exhibit A <br />