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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 /> s. 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 /> ')G4.-A0 V\ G:,/Q1) {nec..I� <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3037 South <br /> Wheatland Road, and legally described as follows: <br /> LOT SIX (6) 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#_17-12-36-126-015_ <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 /> 336,3 <br /> �; , ' d/cewde,- 3912 C44,,. 2 S ( h /t <br /> vv ^ / %` UiYIYI i f- C 3't'1'�,- 7 �-50 '4(466 <br /> a - <br /> Signed and sworn to before me this t"'• day oft,) 9 <br /> tt�.-tet ,20 c5 <br /> OFFICIAL SEAL O <br /> JILANA COLEMAN <br /> Notary Public,Stale of Illinois -Nota —Public <br /> Commission No,1004297 n' <br /> 0 My Commission Expires February 10,2029 <br /> (Rev. 12/2014) <br /> Exhibit A <br />