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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 /> It i\t:I°�'� i �t i'tt�f a1_, �t L_(.l 1�'. `l� -i{ / .,i <br /> j, <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2980 Lakeland <br /> Road,and legally described as follows: <br /> LOT NINETEEN (19) IN BLOCK ONE (1)OF LAKELAND HEIGHTS AS PER PLAT RECORDED IN <br /> BOOK 982, PAGE 36 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, <br /> ILLINOIS. <br /> PIN#-17-12-36-128-008 <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_ <br /> t tIf /c''t_i.t����i' <br /> � 4 <br /> r <br /> /i <br /> Signed and swornto before me this JV6dayof ,20 <br /> Notary Public <br /> (Rev. 12/2014) OFFICIAL SEAL <br /> TARA R.13ACHSMN <br /> Notary Public-St MO of Illinois <br /> M Comrr�sien 1 <br /> Exhibit A <br />