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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 3063 Lakeland <br /> Road,and legally described as follows: <br /> LOT 11 IN BLOCK 2 OF LAKELAND HEIGHTS,AS PER PLAT RECORDED IN BOOK 992,PAGE 38 OF <br /> THE RECORDS IN THE RECORDER'S OFFICE OF MACON COUNTY,ILLINOIS. <br /> PIN 4_17-.12-36-127-023_ <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 1 PRINTED NAME STREET ADDRESS, CITY, STATE <br /> 411----vt Av.,1/ °1/4;I l r le ►1 ti',n ;s—c; ' Zi--1e :Lid:t=,>n cl) 6-e'CP T Cid r r c <br /> ( to L.k._vAATtiYVI:4, �.Jt.,C r r�_ 'r (-,il 01 )C 3 L(. 1QA.& 1A A (L-'Q-ci—riI <br /> Signed and sworn to before me this f O day of KEIVe yet, r' ,202 <br /> !, Wiejkl jrf 12 C''' ii,;(--- ' <br /> ) , , . . ..t.)... ,A.---- - <br /> Notary Public <br /> (Rev. 12/2014) <br /> OFFICIAL SEAL <br /> SARAH M RUETER <br /> Notary Public.State of Minis <br /> Commission No 996061 <br /> Commission Ex fres A ust 29 2C0' <br /> Exhibit A <br />