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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—Li <br /> tt <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3105 Turpin Road, <br /> and legally described as follows: <br /> LOT ONE(1)AND LOT TWO(2)OF LAKELAND HEIGHTS 6TH ADDITION,AS PER PLAT RECORDED <br /> IN BOOK 1832,PAGE 234 0;THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY, <br /> ILLINOIS. <br /> PIN# 17-12-36-178-014& 17-12-36-178-013_ <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't9a" <br /> ly"�LT* --l:�,I �c✓ Y±.�/ \ } .%J-t ! J � '✓ c!j✓"CCY ��Gf�� J�i.vr.-i�t'X� <br /> Signed and sworn to before me this day of 20 <br /> Notary Public <br /> (Rev. 12/2014) <br /> Exhibit A <br />