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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 /> C* <br /> 6. That the petitioner(s)request(s)that the City of Decatur,annex the property commonly described as 3061 South <br /> Wheatland Road,and legally described as follows: <br /> LOT EIGHT(8)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 tl 17-12-36-126-017 <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 /> 11 t? c �f .�{C S �Lf�1 ((e' �� �t S s ( S: ��f�C�tL ��i1 '( '«� cep �L_ 4,2-IU <br /> � ���� ,? L►(r C '11CI1 SCtol <br /> Signed and sworn to before me this})1\ day of A-1,1 ,20 c9,4; <br /> r •I <br /> OFFICIAL SEAL (1— <br /> DANIELLE RENEE DECKER <br /> NOTARY PUBLIC,STATE OF ILLINOIS <br /> Notary Public <br /> COMMISSION NUMBER 1005305 <br /> My COMMISSION EXPIRES: FEBRUARY 25,2029 <br /> (Rev. 12/2014) <br /> Exhibit A <br />