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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 /> I 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 1901 East Grove <br /> Road,and legally described as follows: <br /> ALL OF LOT SEVENTEEN(17)IN BLOCK THREE(3)OF LAKELAND HEIGHTS,AS PER PLAT <br /> RECORDED IN BOOK 982 PAGE 36 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON <br /> COUNTY,ILLINOIS,EXCEPT THE SOUTH 200 FEET THEREOF. <br /> PIN# 17-12-36-126-001_ <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 /> GNATURE PRINTED NAME STREET ADDRESS,CITY,STATE <br /> — &��&- st'�' '-, /%ce /-�z <br /> cz:y"o 0 <br /> 1 S1 ` 1( 'l� I C [ C-- ef Calf <br /> Signed and sworn to before me this (b day of -& '"` '20"`� <br /> OFFICIAL SEAL <br /> Notary Public <br /> TARA R. BACHISTEIN �cr' <br /> Notary Public-Stats of uiinois _ o- <br /> (Rev. 12/2014) IMY Comffftsion titd l Wa ^t-,�✓ <br /> F! <br /> Exhibit A <br />