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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 /> I. 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%0 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 /> Li r wS a, Nc):r)1 u <br /> 1?X1 <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3064 Tempe <br /> Drive,and legally described as follows: <br /> LOT FOURTEEN(14)OF SOUTHLAKE,AS PER PLAT RECORDED IN BOOK 300,PAGE 372 OF THE <br /> RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. <br /> PIN#-17-12-36-204-009 <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 /> L <br /> 4/Ze sowt; oJ- a e, <br /> Signed and sworn to before me this /6 day of -c ,2 <br /> Eft{ 12oZLl <br /> 0 SI S <br /> Notary <br /> Public <br /> '� <br /> (Rev. 12/2014) {` ` '` '� t`�--- ��1"o"�+rrfi <br /> OFFICIAL SEAL <br /> TARA R.BACHSTEIN 0 1�lZgl2 <br /> Notary Public-State of Illinois ?Z 1. pa�`S <br /> M Oommlallon ra 0/1 2I' = M4G%q%G O <br /> N �y C04g�g15� <br /> NN 0�. <br /> Exhibit A ����''N �10�F+►O�`'�• <br />