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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 /> { <br /> /I t c 2 <br /> TT sc <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 2417 North <br /> Wilcox Lane,and legally described as follows: <br /> LOT THIRTY-FIVE(35)OF WILCOX WAYSIDE FARMS ADDITION,AS PER PLAT RECORDED IN <br /> BOOK 300 ON PAGE 186 OF THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, <br /> ILLINOIS. <br /> PIN# 04-12-05-303-003 <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 /> s-- - C.i � v <br /> ( 1 , C�u x �[.��� � �� <br /> n <br /> i <br /> Signed and sworn to before me this JLL day of r (� / ,20� <br /> OPMAI L Notary Public <br /> (Rev. 12/2014) TATARA 9?` -A9, IN <br /> No hy.:t�> I t. f i pis <br /> OFFICIAL SEAL <br /> TARA R.BACHSTEIN <br /> Notary Public-State of Illinois <br /> My Commission Expires 5/12/2027 <br /> Exhibit A <br />