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Rry <br /> Inn <br /> n N ...8■ tl ',..a <br /> 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 2866 Southland <br /> Road,and legally described as follows: <br /> LOT THREE(3)OF GUSTIN'S SIXTEENTH SUBDIVISION,AS PER PLAT RECORDED IN BOOK 958, <br /> PAGE 117 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. <br /> PIN# 17-12-25-376-003_ <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- <br /> Signed and sworn to before me this . day of d,/c'_4 120 Q 4_1 <br /> Notary Public <br /> OFFICIAL SEAL <br /> (Rev. 12/2014) Sara Albert <br /> NOTARY PUBLIC,STATE OF ILLINOIS <br /> My Commission Expires 12-29-2024 <br /> Exhibit A <br />