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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 3050 Lakeland <br /> Road,and legally described as follows: <br /> LOT FIFTEEN(15)IN BLOCK ONE(1)OF LAKELAND HEIGHTS,AS PER PLAT RECORDED IN BOOK <br /> 962 PAGE 36 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. <br /> PIN 417-12-36-128-012_ <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 /> �G7N✓�-E�/ ' t c� 1 6,4Ji"i-L1 G'L L ... 6 5'O L yY 4"4 rl fJ <br /> A"Llm i !'h G7 ' <br /> �- <br /> Signed and sworn to before me this�-hday of )L;'I�J 20 <br /> A/ k Lk <br /> or+ICIAL SEALI <br /> .sa(a AII)NA K Notary Public <br /> (Rev. 12/2014) `� �IQTAIi`f F'JGl1C, Tt�TE OF ILL4MOIS VMYExpires12-2 <br /> Ccmmicsion ' ' <br /> VAN <br /> Notary Pub <br /> lrc State of Illinr;s <br /> My CommisSIO �t_x�3r ally <br /> /P0277 <br /> Exhibit A <br />