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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 2921 South <br /> Wheatland Road,and legally described as follows: <br /> LOT ONE (1) IN BLOCK THREE(3) OF LAKELAND HEIGHTS, AS PER PLAT RECORDED IN BOOK <br /> 982, PAGE 36 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, ILLINOIS. <br /> SITUATED IN MACON COUNTY, ILLINOIS. <br /> PIN # 17-12-36-126-010_ <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 ) I 11et. vC^ITY, STATE <br /> o2 <br /> qoZl h Pa- (I Y ' .CL <br /> Signed and sworn to before me this day of Avi U _ 120 <br /> Notary Pu lic <br /> (Rev. 12/2014) OFFICIAL SEAL <br /> TARA R. BACHSTEIN <br /> E <br /> otary Public-State of Illinois <br /> Commission Expires 5/12/2027 <br /> Exhibit A <br />